ELIZABETH CLUBB, APMC (NPI# 1508829599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508829599 |
| Entity Type | Organization |
| Organization Name | ELIZABETH CLUBB, APMC |
| Practice Address |
Bluebonnet Blvd Suite A Baton Rouge LA 70836-1206 |
| Mailing Address |
4864 Bluebonnet Blvd Suite A Baton Rouge LA 70809-9644 |
| Practice Telephone | 2257667771 |
| Practice Fax Number | 2257667995 |
| Mailing Telephone | 2257667771 |
| Mailing Fax Number | 2257667995 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DR. ELIZABETH ANN CLUBB (PRESIDENT/ SURGEON) |
| Authorized Official Telephone | 2257667771 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11291R | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1664278 | 05 |
| Street Address |
BLUEBONNET BLVD SUITE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70836-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386154284 | Feliciana Physical Therapy Services, LLC | Occupational Therapist | 10299t Creekbend Drive, Baton Rouge, LA 70836 | 2017-10-05 |
| 1346395753 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6401 Bluebonnet Blvd Ste 5050, Baton Rouge, LA 70836 | 2007-01-24 |
| 1891313078 | Camille Alexis Merendino | Speech-Language Pathologist | 9511 Crestview Drive, Ste B, Baton Rough, LA 70836 | 2020-07-14 |
| 1932739984 | Senior Therapy Solutions, LLC | Occupational Therapist | 9511 Crestview Drive, Suite B, Baton Rouge, LA 70836 | 2020-01-17 |
| 1942649769 | Daniel Emeka Ezekwudo | Internal Medicine | 10310 The Grove Blvd, Baton Rouge, LA 70836 | 2013-06-15 |
| 1780979146 | Jeremy Mark Burnham | Orthopaedic Surgery | 10310 The Grove Blvd, Baton Rouge, LA 70836 | 2011-06-14 |
| 1528144581 | Long Hoang Dang | Internal Medicine | 10310 The Grove Blvd, Baton Rouge, LA 70836 | 2006-10-31 |
| 1861447310 | Jo Shani Reed | Allergy & Immunology | 10310 The Grove Blvd, Baton Rouge, LA 70836 | 2006-05-23 |
| 1417281908 | Latonyia J Hewett | Physical Therapist | 9511 Crestview Drive, Ste B, Baton Rouge, LA 70836-3246 | 2009-09-30 |
| 1609218890 | Brett J Carlin | Optometrist | 6401 Bluebonnet Blvd # 2192, Baton Rouge, LA 70836-6401 | 2013-07-29 |
| Find all providers in zip 70836 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801369855 | Juequita Lashawn Wicker | Specialist | 3180 Convention St Ste B, Baton Rouge, LA 70806-3711 | 2019-01-02 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1760905814 | Ashley Danielle Taylor | Specialist | 1555 Cottondale Dr, Baton Rouge, LA 70815-4162 | 2017-07-20 |
| 1982054722 | Baton Rouge Community College | Specialist | 201 Community College Dr, Veterinary Technology Program, Baton Rouge, LA 70806-4156 | 2016-06-13 |
| 1275919458 | Patricia Stevens | Specialist | 6009 Wright Dr, Baton Rouge, LA 70812-2358 | 2015-08-10 |
| 1326420803 | Monica Cooney | Specialist | 1500 Lobdell Ave Ste A, Baton Rouge, LA 70806 | 2015-06-22 |
| 1124417373 | Robert J Nicholson Jr. | Specialist | 7749 Sevenoaks Ave, Baton Rouge, LA 70806-7652 | 2015-01-12 |
| 1962830489 | Tracey Ransome | Specialist | 4328 Government St, Baton Rouge, LA 70806-5813 | 2013-10-18 |
| 1427493253 | Premium United Care | Specialist | 2925 Tradition Ave, Baton Rouge, LA 70810-0336 | 2013-05-07 |
| 1710225016 | Michelle Fraternali | Specialist | 2355 Oleander St, Baton Rouge, LA 70806-5328 | 2013-01-21 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70836 |
Please comment or provide details below to improve the information on ELIZABETH CLUBB, APMC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.