SOUTHERN PODIATRY CLINIC LLC (NPI# 1992122642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992122642 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PODIATRY CLINIC LLC |
| Practice Address |
537 Kentucky Ave Ste B Bogalusa LA 70427-3913 |
| Practice Telephone | 9852155618 |
| Practice Fax Number | 9857320100 |
| Mailing Telephone | 9852155618 |
| Mailing Fax Number | 9857320100 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | MR. DAVID P ALLEN (OWNER) |
| Authorized Official Telephone | 9852155618 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
DPM.200052 | LA | Ambulatory Health Care Facilities |
| Street Address |
537 KENTUCKY AVE STE B |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811126170 | David Presley Allen | Podiatrist | 537 Kentucky Ave Ste B, Bogalusa, LA 70427-3913 | 2009-07-08 |
| 1306308838 | Kathryn Jones | Social Worker | 537 Kentucky Ave Ste B, Bogalusa, LA 70427-3913 | 2019-04-03 |
| 1730663584 | Stephanie Makayla Thompson | Social Worker | 537 Kentucky Ave Ste B, Bogalusa, LA 70427-3913 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063877504 | Renew Podiatry Footcare and Aesthetics Medspa LLC | Clinic/Center | 7501 Trapier Ave, New Orleans, LA 70127-1639 | 2015-12-29 |
| 1669619797 | Ultimate Foot Care LLC | Clinic/Center | 3224 St Claude Avenue, New Orleans, LA 70117 | 2009-01-12 |
| 1194982256 | Elizabeth S. Hawkins Dpm | Clinic/Center | 7423 Picardy Ave, Suite B, Baton Rouge, LA 70808-4362 | 2008-05-16 |
| 1073576823 | Pointe Coupee Better Access Community Healthcare | Clinic/Center | 230 Roberts Drive, Suite C, New Roads, LA 70760 | 2006-04-11 |
| 1093196503 | Robertson Foot and Ankle | Clinic/Center | 1477 Louisiana Ave, Ste 101, New Orleans, LA 70115-3540 | 2015-06-11 |
| 1891054110 | Dr. Warren H. Johnson, Podiatrist, PC | Clinic/Center | 6305 Elysian Fields Ave, Suite 204, New Orleans, LA 70122-4245 | 2012-05-07 |
| 1194083220 | Foot Clinic of Louisiana Inc | Clinic/Center | 2000 Audubon Ave, Suite C-1, Thibodaux, LA 70301-5075 | 2012-04-26 |
| 1235464546 | Crescent City Surgery, LLC | Clinic/Center | 7311 Downman Rd, New Orleans, LA 70126-1213 | 2009-10-05 |
| 1134357619 | Foot Pain Clinic, LLC | Clinic/Center | 3851 S Sherwood Forest Blvd, Ste. 360, Baton Rouge, LA 70816-4361 | 2009-06-23 |
| 1215103445 | Ben A. Vierra, Apmc | Clinic/Center | 601 West St Mary Blvd, Suite 106, Lafayette, LA 70506 | 2008-05-07 |
| Find all providers with the same taxonomy | ||||
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| 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.