SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
NPI 1033111240
Podiatrist - Foot & Ankle Surgery in Shreveport, LA
About Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION (NPI 1033111240), doing business as Southside Foot Clinic, is a healthcare organization registered as a foot & ankle surgery in Shreveport, Louisiana and active in the NPI registry since June 2005. The organization lists Richard Taylor Havens, Physician/administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71118
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation's NPI number?
The NPI number for Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation is 1033111240. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Southside Foot Clinic.
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 Ste 100, Shreveport, LA 71118. The listed phone number is (318) 687-6266.
What is Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
What insurance does Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation · NPI 1033111240
Foot & Ankle Surgery organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since June 1, 2005.
## Identity
- **NPI:** 1033111240 (Entity type: Organization)
- **Enumerated:** June 1, 2005
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Also known as:** Southside Foot Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Richard Havens, PHYSICIAN/ADMINISTRATOR
## Practice location
- **Address:** 9308 MANSFIELD RD, STE 100, Shreveport, LA 71118-3134
- **Phone:** (318) 687-6266 · **Fax:** (318) 683-1023
## Record status
- **NPPES last updated:** December 29, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1033111240) · Data from the CMS NPPES public registry.