Elizabeth A Clubb, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD.11291R Issued in LA

Practice address

4864 Bluebonnet Blvd
Suite a
Baton Rouge, LA 70809-9644

Phone

(225) 766-7771

Fax

(225) 766-7995

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elizabeth Clubb, Apmc

  • Specialist
  • Baton Rouge, LA
  • NPI 1508829599
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1437317260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 BLUEBONNET BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099644",
            "telephone_number": "225-766-7771",
            "fax_number": "225-766-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 BLUEBONNET BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099644",
            "telephone_number": "225-766-7771",
            "fax_number": "225-766-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUBB",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.11291R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664278",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dusti L Clouatre, P.T.
• Rachel Seidel Clouatre, PT, DPT
• Margot Cloutier, LCSW
• Cloverleaf Therapy
• Amanda L. Cloyd, LMSW
• CMT Therapy. LLC
• Coast Diagnostics of Louisiana, LLC (Coast Diagnostics)
• Coastal Care Services LLC
• Aislynn Coates, CRNA
• Carla Onwukwe Coates

• Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.