CLAYTON JUSTUS OVERTON III (NPI# 1598712135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598712135 |
| Entity Type | Individual |
| Full Name | CLAYTON JUSTUS OVERTON III |
| Credential | MD, MPH, MSPH, FAEEM |
| Practice Address |
23 Claudia Dr Covington LA 70435-9513 |
| Mailing Address |
Po Box 1770 Covington LA 70434-1770 |
| Practice Telephone | 9858935767 |
| Mailing Telephone | 9858935767 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 04-37095 | KS | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | ME119281 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 60175689 | WA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 13765 | HI | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 24366 | LA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A96078 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 17549 | MS | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 35848 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00126235 | 05 | |
| CA | MEDI-CAL | 00A960780 | 01 |
| TN | 3870437 | 05 |
| Street Address |
23 CLAUDIA DR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70435-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707842 | Ashlee L Poolson | Pharmacist | 73626 La-25, Covington, LA 70435 | 2015-08-04 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1477671816 | Suzanne Christine Cristodero | Speech-Language Pathologist | 22350 Hwy 1084, Covington, LA 70435 | 2007-03-26 |
| 1598881625 | Richard Glen Spell | Dentist | 79132 Hwy 40, Covington, LA 70435 | 2007-03-21 |
| 1609950518 | Susanne O. Core | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2006-10-25 |
| 1366725582 | Susanne O. Core Dmd Pdc Family Dentistry | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2011-09-23 |
| 1730427105 | Dale Ellen Standifer | Social Worker | 20050 Medus St, Covington, LA 70435-0162 | 2013-01-20 |
| 1508212036 | Nicholas Jake Foto Jr. | Student in an Organized Health Care Education/Training Program | 22360 Longleaf Dr, Covington, LA 70435-0225 | 2016-05-13 |
| 1013434018 | Anh Thi Phuong Tran | Pharmacist | 437 Saddlebrook Ct, Covington, LA 70435-0530 | 2017-08-29 |
| Find all providers in zip 70435 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831407394 | Gameel Gabriel | Emergency Medicine | 118 Pine Dr, Covington, LA 70433-4830 | 2010-09-18 |
| 1063726206 | Shaun Xiao | Emergency Medicine | 1203 S Tyler St Ste 220, Covington, LA 70433 | 2010-07-29 |
| 1316147119 | Kevin Dale Chiasson | Emergency Medicine | 17438 Hard Hat Dr, Covington, LA 70435-5630 | 2007-07-19 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1609924919 | Marcus L. Pittman, IIi | Emergency Medicine | 307 S Jefferson Ave, Covington, LA 70433-3135 | 2007-01-05 |
| 1437257854 | Joseph George Pastorek II | Emergency Medicine | 609 E Gibson St, Suite A, Covington, LA 70433-2980 | 2006-09-20 |
| 1568485316 | James L Evans | Emergency Medicine | 200 W Pike St, Covington, KY 41011-2370 | 2006-07-25 |
| 1265459291 | Ingrid T Labat | Emergency Medicine | 1202 S Tyler Street, Emergency Room, Covington, LA 70433 | 2006-07-16 |
| 1316998941 | Peter Phan | Emergency Medicine | 73153 Military Rd, Covington, LA 70435-6054 | 2006-05-16 |
| 1215987441 | Correct Care, Inc. | Emergency Medicine | 229 Saint John Ln, Covington, LA 70433 | 2006-05-10 |
| Find all providers in COVINGTON | ||||
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| 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.