The Foot and Ankle Clinics, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

THE FOOT AND ANKLE CLINICS, LLC

Practice address

3601 Desiard St
Monroe, LA 71203-4352

Phone

(318) 397-1574

Fax

(318) 397-1672

NPI assigned

May 5, 2020

Organization subpart

No

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 2

Addresses

Other identifiers 1

Other names 2

• The Foot and Ankle Clinics Doing business as
• The Foot and Ankle Clinic of West Monroe, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Foot and Ankle Clinics, LLC

  • Primary Podiatric Medicine Podiatrist
  • Monroe, LA
  • NPI 1013328996

  7911125968

  Same PAC ID

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.

• The Foot and Ankle Clinic of West Monroe, LLC

  • Foot & Ankle Surgery Podiatrist
  • West Monroe, LA
  • NPI 1477301208
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luke Joseph Hunter, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe, LA
  • NPI 1457772774
  Medicare reassignment NPD
• Tiffany P. Frost

  • Gerontology Nurse Practitioner
  • Monroe, LA
  • NPI 1104474725
  NPD
• Gabriel James Mitchell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Shreveport, LA
  • NPI 1871177105

  Primary Podiatric Medicine

  NPD
• Penny Cummins Montcalm, NP

  • Family Nurse Practitioner
  • Mangham, LA
  • NPI 1376877241
  NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1770104374",
    "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": "3601 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034352",
            "telephone_number": "318-397-1574",
            "fax_number": "318-397-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT AND ANKLE CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "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": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "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"
        },
        {
            "organization_name": "The Foot and Ankle Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Foot and Ankle Clinic of West Monroe, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Primary Podiatric Medicine Podiatrist in Monroe, LA
• Providers in Monroe, LA by specialty
• Primary Podiatric Medicine Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.