NPIMap

Organization Active NPI

Louisiana Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Lake Charles, LA
National Provider Identifier
1376964627
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
200062 Issued in LA
Legal business name
LOUISIANA FOOT AND ANKLE SPECIALISTS LLC
Practice address
212 W McNeese St
Lake Charles, LA 70605-5639
Phone
(337) 474-2233
NPI assigned
Jan 3, 2014
Last updated
Jul 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Dr. Daniel Thomas Hall IV, DPMNPI 1891124665
Title
Member/Owner
Phone
(812) 483-7886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 200062 LA Primary

Addresses

Primary practice location

212 W McNeese St
Lake Charles, LA 70605-5639

Mailing address

212 W McNeese St
Lake Charles, LA 70605-5639
Phone (337) 474-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140619001570 LA Part B Supplier - Clinic/Group Practice 5799909461 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Charles, LA
O20190220000112 LA DME Supplier - Physician - Podiatry 5799909461 Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

212 W McNeese St
Lake Charles, LA 70605
Phone (337) 474-2233

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10228/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1376964627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055639",
            "telephone_number": "337-474-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055639",
            "telephone_number": "337-474-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "812-483-7886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "200062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.