GENTRY HAUGHTON LLC
NPI 1245503119
Podiatrist - Foot & Ankle Surgery in Shreveport, LA

Active since February 22, 2012
592 UNADILLA ST, SHREVEPORT, LA 71106(318) 519-7555 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About GENTRY HAUGHTON LLC

This page provides the complete NPI Profile along with additional information for Gentry Haughton Llc, a provider established in Shreveport, Louisiana operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1245503119 assigned on February 2012. The practitioner's primary taxonomy code is 213ES0103X with license number 200048 (LA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Gentry Lee Haughton Dpm (Podiatrist)

NPI
1245503119 Verify this NPI
Provider Name
GENTRY HAUGHTON LLC
Entity Type
Organization
Location Address
592 UNADILLA ST SHREVEPORT, LA 71106
Location Phone
(318) 519-7555
Mailing Address
PO BOX 5237 SHREVEPORT, LA 71135
Mailing Phone
(318) 519-7555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2012
Last Update Date
07-18-2024
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
200048
License State
LA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. GENTRY LEE HAUGHTON DPM

Authorized Official Title
PODIATRIST
Authorized Official Phone
(318) 519-7555

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
592 UNADILLA ST
SHREVEPORT, LA 71106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245503119, enumerated as an "organization" on February 22, 2012.

The provider is located at 592 UNADILLA ST SHREVEPORT, LA 71106 and the phone number is (318) 519-7555.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.