THE FOOT SURGERY CENTER OF SHREVEPORT
NPI 1245215706
Clinic/Center - Ambulatory Surgical in Shreveport, LA

NPI Status: Active since December 07, 2005

Contact Information

9308 MANSFIELD RD
SUITE 300
SHREVEPORT, LA
ZIP 71118
Phone: (318) 687-6266
Fax: (318) 683-1023

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance

About THE FOOT SURGERY CENTER OF SHREVEPORT

This page provides the complete NPI Profile along with additional information for The Foot Surgery Center Of Shreveport, a provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1245215706 assigned on December 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 33 (LA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as The Foot Surgery Center Of Shreveport. The authorized official of this NPI record is Dr. Richard Taylor Havens Dpm (Administrator/physician)

NPI
1245215706
Provider Legal Name
SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION
Other Organization Name
THE FOOT SURGERY CENTER OF SHREVEPORT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9308 MANSFIELD RD SUITE 300 SHREVEPORT, LA 71118
Location Phone
(318) 687-6266
Location Fax
(318) 683-1023
Mailing Address
9308 MANSFIELD RD SUITE 300 SHREVEPORT, LA 71118
Mailing Phone
(318) 687-6266
Mailing Fax
(318) 683-1023
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-07-2005
Last Update Date
06-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
33
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD TAYLOR HAVENS DPM

Authorized Official Title
ADMINISTRATOR/PHYSICIAN
Authorized Official Phone
(318) 687-6266

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245215706
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285411070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 1 + 1 + 0 + 7 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1245215706 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

STEPHEN EUGENE ERTZ DPM

Podiatrist

9308 MANSFIELD RD
STE. 100
SHREVEPORT, LA
ZIP 71118

(318) 687-6266

SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION

Podiatrist

(Foot & Ankle Surgery)

9308 MANSFIELD RD
STE 100
SHREVEPORT, LA
ZIP 71118

(318) 687-6266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245215706, enumerated as an "organization" on December 07, 2005.

The provider is located at 9308 MANSFIELD RD SUITE 300 SHREVEPORT, LA 71118 and the phone number is (318) 687-6266.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.