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THE FOOT CLINIC OF WEST LOUISIANA
NPI 1104957695
Podiatrist - Foot Surgery in Deridder, LA

Active since March 08, 2007
901 SHIRLEY STREET, DERIDDER, LA 70634(337) 239-1061(337) 239-1062 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Foot Clinic Of West Louisiana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE FOOT CLINIC OF WEST LOUISIANA (NPI 1104957695) is a healthcare organization registered as a foot surgery in Deridder, Louisiana and active in the NPI registry since March 2007. The organization lists Denise Harvey, Manager, as its authorized official.

NPPES Registry Identity

NPI1104957695
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameTHE FOOT CLINIC OF WEST LOUISIANA
Location Address901 SHIRLEY STREETDeridder, LA 70634
Mailing Address901 Shirley StreetDeridder, LA 70634 · (800) 686-7758 · Fax (337) 239-1062
Phone(337) 239-1061
Fax(337) 239-1062
Organization SubpartNo
Authorized OfficialDenise HarveyManager · (337) 239-1061
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 9, 2011
✔ NPI 1104957695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
901 SHIRLEY STREET, Deridder, LA 70634
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Other Identifiers 2

Medicaid1442348LA
Medicare ID-Type Unspecified5CA09LA · Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 The Foot Clinic Of West Louisiana's NPI number?

The NPI number for The Foot Clinic Of West Louisiana is 1104957695. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is The Foot Clinic Of West Louisiana located?

The Foot Clinic Of West Louisiana is located at 901 Shirley Street, Deridder, LA 70634. The listed phone number is (337) 239-1061.

What is The Foot Clinic Of West Louisiana's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for The Foot Clinic Of West Louisiana was last updated on August 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.