Organization Active NPI

The Foot and Ankle Clinic of West Monroe, LLC

Doing business as The Foot and Ankle Clinics

  • Foot & Ankle Surgery Podiatrist
  • West Monroe, LA
National Provider Identifier
1477301208
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
THE FOOT AND ANKLE CLINIC OF WEST MONROE, LLC
Doing business as
The Foot and Ankle Clinics
Practice address
2309 Arkansas Rd
West Monroe, LA 71291-7820
Phone
(318) 397-1574
Fax
(318) 397-1672
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Taylor Record, CCMA
Title
Credentialing Coordinator
Phone
(318) 397-1574

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X

Addresses

Primary practice location

2309 Arkansas Rd
West Monroe, LA 71291-7820

Mailing address

3601 Desiard St
Monroe, LA 71203-4352
Phone (318) 397-1574

Other identifiers 1

IdentifierTypeStateIssuer
2372726MedicaidLA

Other names 1

  • The Foot and Ankle Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Foot and Ankle Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2309 Arkansas Rd
West Monroe, LA 71291
Phone (318) 397-1574

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1477301208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034352",
            "telephone_number": "318-397-1574",
            "fax_number": "318-397-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917820",
            "telephone_number": "318-397-1574",
            "fax_number": "318-397-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT AND ANKLE CLINIC OF WEST MONROE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "318-397-1574",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372726",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot and Ankle Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.