Organization Active NPI

Foot and Ankle Institute

  • Foot & Ankle Surgery Podiatrist
  • Baton Rouge, LA
National Provider Identifier
1104133818
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE INSTITUTE
Practice address
5428 Odonovan Dr
Suite C
Baton Rouge, LA 70808-4364
Phone
(225) 757-8808
Fax
(225) 757-8875
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Qui T Le, DPMNPI 1144258161
Title
Ceo
Phone
(225) 757-8808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

5428 Odonovan Dr
Suite C
Baton Rouge, LA 70808-4364

Mailing address

5428 Odonovan Dr
Suite C
Baton Rouge, LA 70808-4364
Phone (225) 757-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110813000001 LA Part B Supplier - Clinic/Group Practice 9436328176 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA
O20111017000712 LA DME Supplier - Physician - Podiatry 9436328176 Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

5438 Odonovan Dr
#200
Baton Rouge, LA 70808
Phone (225) 757-8808

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1104133818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 ODONOVAN DR",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084364",
            "telephone_number": "225-757-8808",
            "fax_number": "225-757-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 ODONOVAN DR",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084364",
            "telephone_number": "225-757-8808",
            "fax_number": "225-757-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "QUI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-757-8808",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.