Classical Paediatrics, AMC

Primary specialty

SpecialistTaxonomy code 174400000X

License

09436R Issued in LA

Legal business name

CLASSICAL PAEDIATRICS, AMC

Practice address

920 Oliver Rd
Suite 1475
Monroe, LA 71201-5702

Phone

(318) 323-3996

Fax

(318) 324-2181

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martin Christian Young, MD

Title

President

Phone

(318) 323-3996

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104872852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 JEFFERSON DAVIS PL",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712011957",
            "telephone_number": "318-325-9273",
            "fax_number": "318-323-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 OLIVER RD",
            "address_2": "SUITE 1475",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015702",
            "telephone_number": "318-323-3996",
            "fax_number": "318-324-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSICAL PAEDIATRICS, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-323-3996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "09436R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445797",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Clark
• Shanika Clark
• Shemika Clark
• Shermie F Clark, LPC, LMFT
• Zelda Nation Clark
• Claude B Minor Jr Apmc
• Felica Clay, LMSW
• Roy G Clay, M.D.
• Clear Path Hearing LLC
• Miriam Clement

• Specialist in Monroe, LA
• Providers in Monroe, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.