CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION – NPI #1265749519
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION is a provider located in WEST MONROE, LA. NPPES has assigned the NPI number 1265749519 to CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION on September 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 15 years ago on Nov 01, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION below.

NPI Profile for
CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION

NPI Number
1265749519
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION
Primary location
304 CIRCLE DR
WEST MONROE, LA 71291-5308
Phone: (318) 388-4863 Fax: (318) 388-1144
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLYDE ELLIOTT
PRESIDENT
Phone: (318) 388-4863
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)		 LA 10533

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.