Angelo P Morreale, DPM, a Prof Corp

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ANGELO P MORREALE, DPM, A PROF CORP

Doing business as

The Foot Institute

Practice address

725 N Ashley Ridge Loop
Suite 200
Shreveport, LA 71106-7232

Phone

(318) 797-3668

Fax

(318) 797-7977

NPI assigned

Feb 2, 2007

Last updated

Oct 6, 2016By 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

Angelo Paul Morreale, DPMNPI 1447214143

Title

Podiatric Physician Owner

Phone

(318) 797-3668

Specialties & licenses 9

Addresses

Other names 1

• The Foot Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelo Paul Morreale, DPM

  • Podiatrist
  • Shreveport, LA
  • NPI 1447214143
  Medicare reassignment NPD Authorized official
• Bryan Wayne Randolph, D.P.M.

  • Podiatrist
  • Shreveport, LA
  • NPI 1649276007
  NPD (past)
• Nelson George Keller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grafton, VA
  • NPI 1558377408
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1306984117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52313",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352313",
            "telephone_number": "318-797-3668",
            "fax_number": "318-797-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N ASHLEY RIDGE LOOP",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067232",
            "telephone_number": "318-797-3668",
            "fax_number": "318-797-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO P MORREALE, DPM, A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "MORREALE",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PODIATRIC PHYSICIAN OWNER",
        "authorized_official_telephone_number": "318-797-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anesthesia Services of Shreveport-Bossier, LLC
• Anesthesiology and Pain Management
• Angela B. White, LCSW Bacs (Beauty for Ashes Therapeutic Services, LLC)
• Briana Angeleri, PT
• Alexis Angelette, MD
• Joseph Michael Angelo, PA
• Timothy Wright Angely, D.C.
• Edward L Anglin, MD
• Anil Veluvolu MD and Willis-Knighton Medical Center
• Bhrugun Anisetti

• 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 Oct 6, 2016; 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.