The Foot Clinic of West Louisiana

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

THE FOOT CLINIC OF WEST LOUISIANA

Practice address

901 Shirley Street
Deridder, LA 70634

Phone

(337) 239-1061

Fax

(337) 239-1062

NPI assigned

Mar 8, 2007

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Harvey

Title

Manager

Phone

(337) 239-1061

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1104957695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SHIRLEY STREET",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "800-686-7758",
            "fax_number": "337-239-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SHIRLEY STREET",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "337-239-1061",
            "fax_number": "337-239-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT CLINIC OF WEST LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-239-1061"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442348",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Lee Sykes
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• Alexandra Takagishi
• Flynn A Taylor I, M.D.
• The Big Pink Barn LLC
• The Perkins Pediatric Clinic, LLC
• Terri Theaux, LPC
• Adrienne D Thibodeau, LMT
• Quintella Thibodeaux
• Thomas E Dobbins MD Professional LLC

• Foot Surgery Podiatrist in Deridder, LA
• Providers in Deridder, LA by specialty
• Foot Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.