Gabrielle Sharon Clark, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

311653 Issued in LA

Practice address

10555 Lake Forest Blvd Ste 3a-B
New Orleans, LA 70127-5206

Phone

(504) 475-3338

NPI assigned

May 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PodiatryAlso: Orthopedic Surgery

Education

Barry University School of Podiatric Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lafeet Foot and Ankle IncGroup PAC ID 7911330915, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Lafeet Foot & Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • New Orleans, LA
  • NPI 1184289134

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Ira P Markowitz MD Facs LLC

  • Vascular Surgery Physician
  • Metairie, LA
  • NPI 1245745363
  NPD (past)
• Restorative Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Slidell, LA
  • NPI 1356504104
  NPD (past)

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1134576754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 LAKE FOREST BLVD STE 3A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701275206",
            "telephone_number": "504-475-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 LAKE FOREST BLVD STE 3A-B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701275206",
            "telephone_number": "504-475-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Station Plz N",
            "address_2": "suite 305",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013800",
            "country_code": "US",
            "telephone_number": "516-663-4798",
            "fax_number": "516-663-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GABRIELLE",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006698",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "311653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Spurgeon Clark Jr., M.D.
• Chelsi R Clark, PHD
• Cherie L Clark, LCSW
• Dajeanne' Clark
• Frederick Clark
• Jamelle Clark
• Kirsten Clark
• Laura Paige Clark, DO
• Lisa Clark, BSW
• Lisa R. Clark, LCSW, CEAP

• Foot & Ankle Surgery Podiatrist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Foot & Ankle Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.