Organization Active NPI

Foot & Ankle Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Natchitoches, LA
National Provider Identifier
1437433943
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM200017 Issued in LA
Legal business name
FOOT & ANKLE SPECIALISTS, PLLC
Practice address
415 Bienville St Ste 2
Natchitoches, LA 71457-5700
Phone
(318) 357-3668
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Dr. Oghale Eleyae, DPMNPI 1811148539
Title
Manager
Phone
(318) 357-3668

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 MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X DPM200017 LA Primary

Addresses

Primary practice location

415 Bienville St Ste 2
Natchitoches, LA 71457-5700

Mailing address

415 Bienville St Ste 2
Natchitoches, LA 71457-5700
Phone (318) 357-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000257 LA Part B Supplier - Clinic/Group Practice 8729252168 Receives reassigned benefits from 1 practitioner
Practice locations: Natchitoches, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2164895Foot and Ankle Specialists415 Bienville St Suite 1, Natchitoches, LA 71457Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

708 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

215 South Dr
Natchitoches, LA 71457
Phone (318) 352-8593

415 Bienville St
Ste 2
Natchitoches, LA 71457
Phone (318) 272-4246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1437433943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BIENVILLE ST STE 2",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575700",
            "telephone_number": "318-357-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BIENVILLE ST STE 2",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575700",
            "telephone_number": "318-357-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "ELEYAE",
        "authorized_official_first_name": "OGHALE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-357-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPM200017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.