THE FOOT CLINIC OF WEST LOUISIANA (NPI# 1104957695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104957695 |
| Entity Type | Organization |
| Organization Name | THE FOOT CLINIC OF WEST LOUISIANA |
| Practice Address |
901 Shirley Street Deridder LA 70634 |
| Practice Telephone | 3372391061 |
| Practice Fax Number | 3372391062 |
| Mailing Telephone | 8006867758 |
| Mailing Fax Number | 3372391062 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | DENISE HARVEY (MANAGER) |
| Authorized Official Telephone | 3372391061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
LA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1442348 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326324773 | The Foot Clinic of West Louisiana | Podiatrist | 1108 Port Arthur Ter, Leesville, LA 71446-4600 | 2011-10-31 |
| 1215056635 | The Foot Clinic of West Louisiana | Podiatrist | 395 S Capitol St, Many, LA 71449-3049 | 2007-03-28 |
| 1861487290 | The Foot Clinic of West Louisiana | Podiatrist | 1108 Port Arthur Ter, Leesville, LA 71446-4600 | 2005-09-12 |
| Street Address |
901 SHIRLEY STREET |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063672327 | Edward Lang | Podiatrist | 2626 Jena St., New Orleans, LA 70115-6325 | 2008-06-11 |
| 1568651966 | Louisiana Medical Foot Center Associates Inc | Podiatrist | 110 Bellemeade Blvd, Suite A, Gretna, LA 70056-7142 | 2007-10-22 |
| 1386832822 | Dr Jonathan J Gisclair Apmc Dba Lafourche Podiatry Clinic | Podiatrist | 16148 W Main St, Cut Off, LA 70345-3511 | 2007-10-10 |
| 1841483666 | Charles Anthony Caplis | Podiatrist | 2520 Harvard Ave Ste 2b, Metairie, LA 70001-1172 | 2007-08-24 |
| 1467675124 | Baton Rouge Foot Care, PC | Podiatrist | 8160 Ymca Plaza Dr Ste C, Baton Rouge, LA 70810-0916 | 2007-04-11 |
| 1942384227 | Minden Foot Clinic, Inc | Podiatrist | 603 Fleming Ln, Minden, LA 71055-3073 | 2006-10-24 |
| 1639190366 | Robert Jarrett Kadish | Podiatrist | 1521 N Causeway Blvd, Ste. A, Metairie, LA 70001-4135 | 2006-07-21 |
| 1639195639 | Darren Michael Vigee | Podiatrist | 985 Robert Blvd Ste 103, Slidell, LA 70458-2063 | 2006-07-14 |
| 1447289426 | Robert A. Arango | Podiatrist | 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8990 | 2006-07-01 |
| 1609836055 | Denardo Dolphin Dunham | Podiatrist | 7311 Downman Rd, New Orleans, LA 70126-1213 | 2006-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE FOOT CLINIC OF WEST LOUISIANA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.