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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Acute Care Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2372726 | Medicaid | LA |
Other names 1
- The Foot and Ankle Clinics
National Provider Directory
National Provider Directory- Tax ID family
- The Foot and Ankle Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Foot and Ankle Clinics
- Primary Podiatric Medicine Podiatrist
- Monroe, LA
- NPI 1770104374
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.
-
- Foot & Ankle Surgery Podiatrist
- Crowville, LA
- NPI 1124571096
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Monroe, LA
- NPI 1457772774
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.