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NPI · 1033111240 · NPPES-sourced

Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation

ActiveFoot & Ankle Surgery Podiatrist
NPI Number
1033111240
Type 2 · Organisation
Taxonomy Code
213ES0103X
Contact
(318) 687-6266
License LA · 5B496
Last Updated
Enumerated
Primary practice addressLA · 71118-3134
9308 Mansfield Rd, Ste 100Shreveport, LA 71118-3134
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About this NPIWhat this record shows.

NPI 1033111240 is registered to Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation, a healthcare organisation classified as "Foot & Ankle Surgery Podiatrist" and located at 9308 Mansfield Rd, Ste 100 in Shreveport, Louisiana. The organisation's authorised official is Richard Havens. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 2 PECOS enrollment records (each with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 127 Foot & Ankle Surgery Podiatrist providers on file in Louisiana.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation accepts. To confirm in-network status with your specific health plan, contact Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation directly at (318) 687-6266.

Frequently asked

Yes. NPI 1033111240 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Foot & Ankle Surgery Podiatrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (318) 687-6266.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 127 Foot & Ankle Surgery Podiatrist providers are registered in Louisiana, and Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy213ES0103X
Last updated
Enumerated
StatusActive
Partneri
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Same specialtyOther Foot & Ankle Surgery Podiatrist providers in Louisiana.

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