Individual provider Active NPI

Robert W Clayton III, CRNA

  • Certified Registered Nurse Anesthetist
  • Ferriday, LA
National Provider Identifier
1356313365
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN029650AP02167 Issued in LA
Practice address
241 Aimee Rd
Ferriday, LA 71334-9615
Phone
(318) 336-2220
Fax
(318) 336-6060
NPI assigned
Feb 3, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN029650AP02167 LA Primary

Addresses

Primary practice location

241 Aimee Rd
Ferriday, LA 71334-9615

Mailing address

241 Aimee Rd
Ferriday, LA 71334-9615
Phone (318) 336-2220

Other identifiers 3

IdentifierTypeStateIssuer
00082801MedicaidMS
050584209COtherMSMS BLUE CROSS
1396575MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040701000579 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416934070 Reassigns benefits to 1 organization
I20040823000041 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416934070 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smso Anesthesia, LLCGroup PAC ID 7012970627, 49 clinicians

Practice addresses (Care Compare)

2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN029650AP02167LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Parish Hospital Service District No. 1-B CurrentSince Mar 6, 2011 Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince May 28, 2017 Accepting new patients
Richland Parish Hospital Service District No 1-B Current Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince May 28, 2017 Accepting new patients
Richland Parish Hospital Service District No 1-B CurrentSince Mar 6, 2011 Accepting new patients
Concordia Parish Hospital Service District Number One Current Accepting new patients
Smso Anesthesia, LLC CurrentSince Apr 24, 2023 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2017 Accepting new patients
Concordia Parish Hospital Service District Number One Current Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc PastSince Jul 1, 1995 Accepting new patients
Natchez Regional Medical Center Past Accepting new patients

Locations

1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

503 McMillan Rd
#35805
West Monroe, LA 71291

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131

Organizations & group practices 11

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1356313365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 AIMEE RD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713349615",
            "telephone_number": "318-336-2220",
            "fax_number": "318-336-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 AIMEE RD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713349615",
            "telephone_number": "318-336-2220",
            "fax_number": "318-336-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN029650AP02167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00082801",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BLUE CROSS",
            "identifier": "050584209C",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396575",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferriday, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.