Christopher B Formanek, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PD321R Issued in LA

Practice address

6141 Parkforest Dr
Baton Rouge, LA 70816-6111

Phone

(225) 756-0034

Fax

(225) 756-0708

NPI assigned

Mar 7, 2006

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cformanek@footstepsllc.ssdirect.aprima.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Footsteps, LLC

  • Podiatrist
  • Baton Rouge, LA
  • NPI 1700926409
  Medicare reassignment NPD Authorized official
• Footsteps, LLC

  • Podiatrist
  • Gonzales, LA
  • NPI 1194296087
  NPD Authorized official
• Footsteps,LLC

  • Durable Medical Equipment & Medical Supplies
  • Gonzales, LA
  • NPI 1053321711
  Authorized official Same address or phone
• Footsteps,LLC

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1720095342
  Authorized official Same address or phone
• Footsteps,LLC

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1962412627
  Authorized official Same address or phone
• Family Foot & Ankle Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Bismarck, ND
  • NPI 1033258918
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1639146749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 PARKFOREST DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166111",
            "telephone_number": "225-756-0034",
            "fax_number": "225-756-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 PARKFOREST DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166111",
            "telephone_number": "225-756-0034",
            "fax_number": "225-756-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 W Highway 30 Ste A",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707374852",
            "country_code": "US",
            "telephone_number": "225-803-1516",
            "fax_number": "225-756-0708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "826 W Highway 30 Ste A",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707374852",
            "country_code": "US",
            "telephone_number": "225-803-1516",
            "fax_number": "225-756-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORMANEK",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD321R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.