Active NPI
The Foot Clinic of West Louisiana
- Foot Surgery Podiatrist
- Leesville, LA
National Provider Identifier
1326324773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- THE FOOT CLINIC OF WEST LOUISIANA
- Practice address
- 1108 Port Arthur Ter
Leesville, LA 71446-4600 - Phone
- (337) 239-1061
- Fax
- (337) 239-1062
- NPI assigned
- Oct 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Harvey
- Title
- Business Manager
- Phone
- (337) 239-1061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | Primary |
Addresses
Primary practice location
1108 Port Arthur Ter
Leesville, LA 71446-4600
Mailing address
1029 Keyser Ave
Natchitoches, LA 71457-6239
Phone (337) 239-1061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1668184 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1326324773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 KEYSER AVE",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714576239",
"telephone_number": "337-239-1061",
"fax_number": "337-239-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 PORT ARTHUR TER",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464600",
"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": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "337-239-1061"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1668184",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.