Richard Taylor Havens, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PDR073R Issued in LA

Practice address

9308 Mansfield Rd Ste 100
Shreveport, LA 71118-3134

Phone

(318) 687-6266

Fax

(318) 683-1023

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southside Foot Clinic of Shreveport, Inc. a Professional CorporationGroup PAC ID 3971547316, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.23 of 100Reported as group

Quality

51.97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Southside Foot Clinic of Shreveport, Inc. a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Shreveport, LA
  • NPI 1033111240
  Medicare reassignment Care Compare group NPD Authorized official
• Southside Foot Clinic of Shreveport Inc a Professional Corporation

  • Ambulatory Surgical Clinic/Center
  • Shreveport, LA
  • NPI 1245215706
  NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1285643908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 MANSFIELD RD",
            "address_2": "STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183160",
            "telephone_number": "318-687-6266",
            "fax_number": "318-683-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 MANSFIELD RD STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183134",
            "telephone_number": "318-687-6266",
            "fax_number": "318-683-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "RICHARD",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PDR073R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1384691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hatten, PHARM.D.
• Jennifer Haught
• Gentry Lee Haughton, DPM
• Lisa Suzanne Haulmark, LCSW-S
• Chad Richard Havard, D.C.
• Brandy G Hawkins, FNP
• Brittany Hawkins
• Harry L Hawkins Jr., MD
• Hearise Hawkins
• Jeremy Alan Hawkins, MD

• Podiatrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.