Organization Active NPI

The Foot Clinic of West Louisiana

  • Foot Surgery Podiatrist
  • Leesville, LA
National Provider Identifier
1861487290
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
THE FOOT CLINIC OF WEST LOUISIANA
Practice address
1108 Port Arthur Ter
Leesville, LA 71446-4600
Phone
(337) 239-1061
Fax
(337) 239-1062
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Jimmie B Harvey, DPM
Title
Owner
Phone
(337) 239-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

1108 Port Arthur Ter
Leesville, LA 71446-4600

Mailing address

1108 Port Arthur Ter
Leesville, LA 71446-4600
Phone (337) 239-1061

Other identifiers 1

IdentifierTypeStateIssuer
1442348MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1861487290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464600",
            "telephone_number": "337-239-1061",
            "fax_number": "337-239-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464600",
            "telephone_number": "337-239-1061",
            "fax_number": "337-239-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT CLINIC OF WEST LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-239-1061",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442348",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.