Coastal Foot Clinic Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PD165R Issued in LA

Legal business name

COASTAL FOOT CLINIC INC

Practice address

230 Roberts Dr
Suite G
New Roads, LA 70760-2661

Phone

(225) 638-6640

Fax

(225) 618-0863

NPI assigned

Apr 28, 2008

Last updated

May 29, 2015By 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

Richard Palecki, DPMNPI 1639268196

Title

Owner

Phone

(225) 718-5314

Specialties & licenses 1

Addresses

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.

• Richard Gerard Palecki, D.P.M.

  • Podiatrist
  • New Roads, LA
  • NPI 1639268196
  Authorized official Same address or phone

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1487829842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "LIVONIA",
            "state": "LA",
            "postal_code": "707550575",
            "telephone_number": "225-718-5314",
            "fax_number": "225-618-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ROBERTS DR",
            "address_2": "SUITE G",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602661",
            "telephone_number": "225-638-6640",
            "fax_number": "225-618-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "PALECKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-718-5314",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD165R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Carr
• Randall Cashio
• Toni Catlett
• Cathy Chauvin, SPEECH LANGUAGE PATH
• William Cloughley, PT
• Coastal Foot Clinic, a P.C.
• Jeanne Richard Daniel, PT
• Rachel Elizabeth Dewey, DO
• Allyson Luck Dickie
• Kelly Dickinson

• Podiatrist in New Roads, LA
• Providers in New Roads, LA by specialty
• Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.