SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION , NPI 1033111240
Podiatrist in SHREVEPORT, LA
Last Updated on : Jun 08,2023
About SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION (NPI 1033111240)
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION is a Podiatrist in SHREVEPORT, United States with a focus in Foot & Ankle Surgery .
1033111240 is NPI number of SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION.
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION's primary taxonomy code based on NPI Lookup is 213ES0103X with license number 5B496. This taxonomy code refers to Podiatrist.
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION current practice location address is 9308 MANSFIELD RD, SHREVEPORT, LA. SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION can be reached out via phone at 318-687-6266 and via fax at 318-683-1023 .
You can also correspond with SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION through mail at mailing address 9308 MANSFIELD RD, SHREVEPORT, LA, United States. Mailing address contact number is 318-687-6266.
The enumeration date of SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION is RICHARD HAVENS (PHYSICIAN/ADMINISTRATOR). RICHARD HAVENS can be reached at 3186876266.1033111240 NPI Information
Basic NPI information of SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION (NPI 1033111240) is provided below.
| Name | SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION |
|---|---|
| National Provider Id (NPI) | 1033111240 |
| Entity Type | Organization |
| Practice Address | 9308 MANSFIELD RD,
STE 100
SHREVEPORT, LA, United States |
| Practice Telephone | 318-687-6266 |
| Practice Fax Number | 318-683-1023 |
| Mailing Address | 9308 MANSFIELD RD ,
STE 100
SHREVEPORT, LA, United States |
| Mailing Telephone | 318-687-6266 |
| Mailing Fax Number | 318-683-1023 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 08-Jun-2023 |
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION (NPI 1033111240) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Podiatrist, Foot & Ankle Surgery | 5B496 | LA |
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION (NPI 1033111240) Office Location
Office location of SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1649947508 | 17:7 INFINITY LLC | Non-emergency Medical Transport (VAN) | PO BOX 19245,
SHREVEPORT, LA, United States |
26-Aug-2021 |
| 1063749042 | 180 MEDICAL, INC. | Durable Medical Equipment & Medical Supplies | 1520 N HEARNE AVE,
SUITE 112 SHREVEPORT, LA, United States |
11-Nov-2009 |
| 1770934689 | 1ST CHOICE DRUG & TESTING SERVICES | Point of Service | 1217 GARY ST,
SHREVEPORT, LA, United States |
22-Jun-2016 |
| 1417668146 | 318 THERAPY, LLC | Social Worker, Clinical | 3004 KNIGHT ST BLDG 6,
SHREVEPORT, LA, United States |
13-Dec-2022 |
| 1316423262 | A & J TRANSPORTATION SERVICE | Private Vehicle | 3431 N MARKET ST,
SHREVEPORT, LA, United States |
13-Jul-2018 |
| 1558754796 | A & Z PHARMACY INC | Pharmacy | 3102 LINWOOD AVE,
SHREVEPORT, LA, United States |
12-Mar-2015 |
| 1417047929 | A & Z PHARMACY LLC | Pharmacy | 3102 LINWOOD AVE,
SHREVEPORT, LA, United States |
13-Oct-2006 |
| 1366946469 | A 2 Z BUSINESS SERVICES INC | Non-emergency Medical Transport (VAN) | 3907 HEARNE AVE,
SHREVEPORT, LA, United States |
22-Mar-2018 |
| 1366822710 | A BRIGHTER SMILE | Dentist, General Practice | 385 BERT KOUNS LOOP,
SUITE 700 SHREVEPORT, LA, United States |
01-Jun-2015 |
| 1730678764 | A CARING HAND HOME CARE | Homemaker | 1010 CRESWELL AVE,
SHREVEPORT, LA, United States |
04-May-2018 |
| 1265580633 | A CENTER FOR HOPE AND CHANGE, INC. | Community/Behavioral Health | 1925 CENTENARY BLVD,
SHREVEPORT, LA, United States |
08-Jan-2007 |
| 1912253618 | A GOLDEN TOUCH INC | Specialist | BOX 11,
3110 BERT KOUNS INDUSTRIAL LOOP STE G SHREVEPORT, LA, United States |
31-Jul-2012 |
| 1689838039 | A GOOD HOME CARE SERVICE, LLC | Home Health | 6007 FINANCIAL PLZ,
SUITE 103 SHREVEPORT, LA, United States |
15-Jul-2008 |
| 1952559312 | A GOOD HOME CARE SERVICES, LLC | Home Health | 6007 FINANCIAL PLAZA,
SUITE 503 SHREVEPORT, LA, United States |
28-Aug-2008 |
| 1760639165 | A GOOD HOME CARE SERVICES, LLC | Home Health | 6007 FINANCIAL PLAZA,
SUITE 503 SHREVEPORT, LA, United States |
27-Aug-2008 |
| 1124276589 | A GOOD HOME CARE SERVICES, LLC | Home Health | 6007 FINANCIAL PLAZA,
SUITE 503 SHREVEPORT, LA, United States |
28-Aug-2008 |
| 1982212486 | A LIFT TO WELLNESS TRANSPORTATION LLC | Private Vehicle | 9208 KINGSTON RD,
SHREVEPORT, LA, United States |
21-Jul-2020 |
| 1689619116 | A MICHAEL AURA MD AND WILLIS-KNIGHTON MEDICAL CENTER | Internal Medicine | PO BOX 3038,
SHREVEPORT, LA, United States |
18-Jun-2006 |
| 1902280506 | A MOMENT IN TIME PATIENT CARE SERVICES. LLC | Custodial Care Facility, Adult Care Home | 3085 KEITHVILLE KINGSTON RD,
KEITHVILLE, LA, United States |
13-Jul-2015 |
| 1336781632 | A NEW BEGINNING COUNSELING SERVICES, LLC | Counselor, Mental Health | 9441 OLEANDER DR,
SHREVEPORT, LA, United States |
08-Oct-2019 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1033111240?1033111240 is the NPI number of SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION.
Where is SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION located?SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION is located at 9308 MANSFIELD RD, SHREVEPORT, LA.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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