R. Vincent Kidd III, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

03442R Issued in LA

Practice address

2101 Robin Ave
Ste 1
Hammond, LA 70403

Phone

(985) 542-7766

Fax

(985) 542-1754

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Urology Clinic of Tangipahoa

  • Urology Physician
  • Hammond, LA
  • NPI 1356514129
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1780771071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 1",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-542-7766",
            "fax_number": "985-542-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "STE 1",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-7766",
            "fax_number": "985-542-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "R.",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "03442R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1145122",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Kernan
• Kerne Counseling & Consulting, LLC
• Robert Marion Kerne, LCSW AND LMFT
• Abdul Mannan Khan, MD
• Georges M Khoueiry, M.D.
• Robert B Kidd, M.D.
• Irina Kim Cavdar, MD
• Jordan Olivia Kindrick
• Heidi Lynn King, BT
• Kristen King, NP

• Urology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.