Clayton Charles Roberts, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983

Phone

(318) 442-0106

Fax

(318) 448-8918

NPI assigned

Mar 28, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisiana Cardiovascular & Thoracic Institute, LLC

  • Specialist
  • Alexandria, LA
  • NPI 1104984293
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1043715212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 202",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-442-0106",
            "fax_number": "318-448-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 202",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-442-0106",
            "fax_number": "318-448-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CLAYTON",
        "middle_name": "CHARLES",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF SURGICAL ASSISTANTS",
            "identifier": "17-640",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Smith LLC
• Amanda Roberts
• Antonio Demektrick Roberts, DDS, MHS
• Bobbye G Roberts, LCSW
• Brooklyn Roberts
• Cynthia M. Roberts
• Kimberly M Roberts, LPC
• La Dasha Roberts
• Terry L. Roberts, AU.D.
• Clinton Paul Robertson, PF

• Surgical Assistant in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Surgical Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.