Active NPI
Robert Lyle Cleveland, M.D.
- Emergency Medicine Physician
- Greensburg, LA
National Provider Identifier
1306982277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 020565
- Practice address
- 16874 La. Hwy. 43
Greensburg, LA 70441-0337 - Phone
- (225) 222-6111
- Fax
- (225) 222-6426
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 020565 | LA | Primary |
Addresses
Primary practice location
16874 La. Hwy. 43
Greensburg, LA 70441-0337
Mailing address
16874 Hwy. 43
Greensburg, LA 70441-0337
Phone (225) 222-6111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1394050 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020565 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Helena Parish Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Greensburg, LA
- NPI 1003865619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306982277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16874 HWY. 43",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "704410337",
"telephone_number": "225-222-6111",
"fax_number": "225-222-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16874 LA. HWY. 43",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "704410337",
"telephone_number": "225-222-6111",
"fax_number": "225-222-6426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "ROBERT",
"middle_name": "LYLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "020565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1394050",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.