Grant Dean Clinkingbeard
MD | Pediatrics | Male
Grant Dean Clinkingbeard, MD is a Covington, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Grant Dean Clinkingbeard is
728 W 11th Ave, Covington, Louisiana - 70433-2318. He can be contacted on phone at
985-730-7195 and fax number 985-730-7196.
Grant Dean Clinkingbeard is a sole proprietor of his business.
NPI number (Unique professional ID) for Grant Dean Clinkingbeard is
1710446968 which was assigned by NPPES on 18 Mar, 2019 and it was last updated on 24 Mar, 2023.
Grant Dean Clinkingbeard license number is
328752 for Pediatrics (208000000X) in Louisiana.
Grant Dean Clinkingbeard is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Grant Dean Clinkingbeard basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Grant Dean Clinkingbeard |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Grant Dean Clinkingbeard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 728 W 11th Ave
Covington, LA, 70433-2318
United States |
|---|
| Phone Number : | 985-730-7195 |
|---|
| Fax Number : | 985-730-7196 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710446968 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Mar, 2019 |
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| Last Updated On : | 24 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grant Dean Clinkingbeard are as mentioned. Primary taxonomy code for Grant Dean Clinkingbeard, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | 328752 | LA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
200 HENRY CLAY AVE,
NEW ORLEANS, LA, 70118-5720
United States | NEW ORLEANS, LA | 504-896-3924 |
433 PLAZA ST STE 1A,
BOGALUSA, LA, 70427-3729
United States | BOGALUSA, LA | 985-730-6970 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | gclinkingbeard81296@direct.casso.us.com
FMOLHS-Epic | No affiliation | DIRECT
Direct
| OTHER
Other
gclinkingbeard81296@direct.casso.us.com | 728 W 11th Ave,
Covington, LA, 70433-2318
United States |
FHIR
(FHIR URL) | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
FMOLHS FHIR URL | No affiliation | OTHER
Other
FHIR API | OTHER
Other
C-CDA | 728 W 11th Ave,
Covington, LA, 70433-2318
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5959 S Sherwood Forest Blvd
Baton Rouge, LA, 70816-6038
United States |
|---|
| Phone Number : | 985-730-7195 |
|---|
| Fax Number : | 225-765-9196 |
|---|
Business Location:
Patients can refer following map for directions to
Grant Dean Clinkingbeard practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.