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SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION
NPI 1245215706
Clinic/Center - Ambulatory Surgical in Shreveport, LA

Active since December 07, 2005
9308 MANSFIELD RD, SUITE 300, SHREVEPORT, LA 71118(318) 687-6266(318) 683-1023 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Jun 8, 2023 (2 updates tracked since 2023).

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 1245215706), doing business as The Foot Surgery Center Of Shreveport, is a healthcare organization registered as an ambulatory surgical in Shreveport, Louisiana and active in the NPI registry since December 2005. The organization lists Richard Taylor Havens, Administrator/physician, as its authorized official.

NPPES Registry Identity

NPI1245215706
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION
Location Address9308 MANSFIELD RD, SUITE 300Shreveport, LA 71118-3134
Mailing Address9308 Mansfield Rd, Suite 300Shreveport, LA 71118-3134 · (318) 687-6266 · Fax (318) 683-1023
Phone(318) 687-6266
Fax(318) 683-1023
Organization SubpartYes
Authorized OfficialRichard Taylor HavensAdministrator/physician · (318) 687-6266
Enumeration DateDecember 7, 2005
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1245215706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in LA · 33
9308 MANSFIELD RD, Shreveport, LA 71118
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Other Names 1

Doing Business AsThe Foot Surgery Center Of Shreveport

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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.

SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
Podiatrist (Foot & Ankle Surgery)
9308 MANSFIELD RD, STE 100
SHREVEPORT, LA 71118
Caddo Parish (318) 687-6266
STEPHEN EUGENE ERTZ DPM
Podiatrist
9308 MANSFIELD RD, STE. 100
SHREVEPORT, LA 71118
Caddo Parish (318) 687-6266

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 1245215706. It was assigned to this organization in the NPPES registry on December 7, 2005. The provider is doing business as The Foot Surgery Center Of Shreveport.

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 Suite 300, 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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Southside Foot Clinic Of Shreveport Inc A Professional Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana 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.