Elizabeth Clubb, Apmc

Primary specialty

SpecialistTaxonomy code 174400000X

License

11291R Issued in LA

Legal business name

ELIZABETH CLUBB, APMC

Practice address

Bluebonnet Blvd
Suite a
Baton Rouge, LA 70836-1206

Phone

(225) 766-7771

Fax

(225) 766-7995

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Clubb, M.D.NPI 1437317260

Title

President/ Surgeon

Phone

(225) 766-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Elizabeth A Clubb, M.D.

  • Specialist
  • Baton Rouge, LA
  • NPI 1437317260
  NPD (past) Authorized official

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1508829599",
    "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": "BLUEBONNET BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708361206",
            "telephone_number": "225-766-7771",
            "fax_number": "225-766-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CLUBB, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CLUBB",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/ SURGEON",
        "authorized_official_telephone_number": "225-766-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "11291R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664278",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite PCS, LLC
• Elite PCS, LLC
• Elite PCS, LLC
• Elite Physical Therapy Management Company, LLC
• Elizabeth Buchert, LLC
• Elizabeth H. Guerrero, D.D.S., Apc
• Elizabeth Moore Standifer, LCSW LLC
• Elizabeth Roberts LLC
• Elizabeth S. Hawkins DPM
• Leslie Sullivan Elkins, M.D.

• 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 13, 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.