Baton Rouge Foot Care , PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PD317R Issued in LA

Legal business name

BATON ROUGE FOOT CARE , PC

Practice address

8160 YMCA Plaza Dr Ste C
Baton Rouge, LA 70810-0916

Phone

(225) 763-7770

Fax

(225) 763-7773

NPI assigned

Apr 11, 2007

Last updated

Oct 17, 2013By 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

Clif S Richardson, DPMNPI 1447241112

Title

Administrator

Phone

(225) 763-7770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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.

• Clif S Richardson, DPM

  • Foot Surgery Podiatrist
  • Baton Rouge, LA
  • NPI 1447241112
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1467675124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 YMCA PLAZA DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100916",
            "telephone_number": "225-763-7770",
            "fax_number": "225-763-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 YMCA PLAZA DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100916",
            "telephone_number": "225-763-7770",
            "fax_number": "225-763-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE FOOT CARE , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CLIF",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-763-7770",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": "PD317R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1369691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baton Rouge DME, LLC
• Baton Rouge Eldercare LLC.
• Baton Rouge Eldercare LLC.
• Baton Rouge Eye Physicians
• Baton Rouge Family Dentistry
• Baton Rouge General Diabetes Center
• Baton Rouge General Hospital
• Baton Rouge General Medical Center (Baton Rouge General Compounding Pharmacy)
• Baton Rouge General Medical Center (Baton Rouge General Medical Supplies and Equipment)
• Baton Rouge General Medical Center

• Foot Surgery Podiatrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Foot Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.