Clarence Butch Dunn Jr MD a Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

021090 Issued in LA

Legal business name

CLARENCE BUTCH DUNN JR MD A MEDICAL CORPORATION

Practice address

302 McMillan Rd
West Monroe, LA 71291-5324

Phone

(318) 322-2202

Fax

(318) 322-9949

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clarence B Dunn Jr., M.D.NPI 1770673568

Title

Dr

Phone

(318) 322-2202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarence Dunn, M.D.

  • Specialist
  • West Monroe, LA
  • NPI 1770673568

  Gastroenterology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1386803773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915324",
            "telephone_number": "318-322-2202",
            "fax_number": "318-322-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915324",
            "telephone_number": "318-322-2202",
            "fax_number": "318-322-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE BUTCH DUNN JR MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "318-322-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "021090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHG Hospital West Monroe, LLC
• Chiropractic Health Services, LLC
• Christian Counseling Center of West Monroe Inc.
• Hunter T. Christy, MD
• Regina Claiborne
• Dellie H Clark, M.D.
• Hannah Clark, M.D.
• Traci B Clark, LPC
• Clarence Lee Clay II, MS
• Katherine Clement

• Gastroenterology Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Gastroenterology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.