Foot Clinic of Gretna ,LLC.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PD218R Issued in LA

Legal business name

FOOT CLINIC OF GRETNA ,LLC.

Practice address

775 Behrman Hwy
Suite B
Gretna, LA 70056-3011

Phone

(504) 227-2749

Fax

(504) 263-1900

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By 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

Linh Ngoc Nguyen, DPMNPI 1215926480

Title

Owner/ Manager

Phone

(504) 227-2749

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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.

• Linh Ngoc Nguyen, DPM

  • Podiatrist
  • Gretna, LA
  • NPI 1215926480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1871046763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N VILLAGE GREEN ST",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700587020",
            "telephone_number": "504-227-2749",
            "fax_number": "504-263-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 BEHRMAN HWY",
            "address_2": "SUITE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700563011",
            "telephone_number": "504-227-2749",
            "fax_number": "504-263-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC OF GRETNA ,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "504-227-2749",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD218R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541621",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Fleming, FNP-C
• Thomas M Flint, DMD
• Victor K Flynn, DC
• Colin A Foley
• Diane Fontenette, LPN
• Julie Fortenberry, RD, LDN
• Nicholas Elliott Forth, MD
• Nikell Thompson Fortia
• Gwendolyn M Foster
• Marie Fougere

• Podiatrist in Gretna, LA
• Providers in Gretna, LA by specialty
• Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.