SOUTHSIDE FOOT CLINIC
NPI 1033111240
Podiatrist, Foot & Ankle Surgery in Shreveport,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 1, 2005

Contact Information

9308 Mansfield Rd
Shreveport,
Post Code: 71118
Phone: (318) 687-6266
Fax: (318) 683-1023

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Southside Foot Clinic in Shreveport - Podiatrist, Foot & Ankle Surgery

Southside Foot Clinic is a Podiatrist, Foot & Ankle Surgery in Shreveport, . Southside Foot Clinic practices all healthcare services and medical treatments related to Podiatrist, Foot & Ankle Surgery. The NPI Number for Southside Foot Clinic is 1033111240. The last update date is 2023-06-08.

Southside Foot Clinic's current location address is 9308 Mansfield Rd, Shreveport, . You can contact this provider via phone number (318) 687-6266 and fax number (318) 683-1023. The mailing address for Southside Foot Clinic is 9308 Mansfield Rd, Shreveport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1033111240
Provider Legal Name
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
Other Organization Name
SOUTHSIDE FOOT CLINIC
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
9308 Mansfield Rd, Shreveport,
Location Phone
(318) 687-6266
Location Fax
(318) 683-1023
Mailing Address
9308 Mansfield Rd, Shreveport, Louisiana(LA)
Mailing Phone
318-687-6266
Mailing Fax
318-683-1023
Enumeration Date
2005-06-01
Last Update Date
2023-06-08
Code Navigator

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
-
License No.
5B496
License State
Louisiana (LA)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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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.
1033111240
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206321228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 206321228
2 + 0 + 6 + 3 + 2 + 1 + 2 + 2 + 8 + 24 = 50
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1033111240 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033110226 JASON M HEBERT
Individual
Physician Assistant, Medical 5231 BRITTANY DR
BATON ROUGE, Louisiana (LA)
225-769-0933
1033109186 PHILIP D MOSES
Individual
Dentist, Pediatric Dentistry 631 W COLLEGE ST
LAKE CHARLES, Louisiana (LA)
337-474-9057
1033109038 DEEANNA BENNETT BEAVER
Individual
Nurse Practitioner, Women's Health 165 CORPORATE DRIVE
HOUMA, Louisiana (LA)
985-851-1001
1033108238 JENNIFER HENDERSON LEBLANC
Individual
Nurse Practitioner, Adult Health 10154 JEFFERSON HWY
BATON ROUGE, Louisiana (LA)
225-927-5663
1033106935 STEVEN E. LEE
Individual
Anesthesiology 59355 RIVER WEST DR
PLAQUEMINE, Louisiana (LA)
337-261-5151