Family Foot and Ankle Clinic

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PD196R Issued in LA

Legal business name

FAMILY FOOT AND ANKLE CLINIC

Practice address

3626 Youree Dr
Shreveport, LA 71105-2122

Phone

(318) 869-2960

Fax

(318) 869-2958

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edozie Chukwudinma Okereke, DPM

Title

Podiatrist

Phone

(318) 869-2960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1336471838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052122",
            "telephone_number": "318-869-2960",
            "fax_number": "318-869-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052122",
            "telephone_number": "318-869-2960",
            "fax_number": "318-869-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "OKEREKE",
        "authorized_official_first_name": "EDOZIE",
        "authorized_official_middle_name": "CHUKWUDINMA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "318-869-2960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD196R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1999105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 3, 2010; 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.