Provider Demographics
NPI:1437433943
Name:FOOT & ANKLE SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:FOOT & ANKLE SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:OGHALE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEYAE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:318-357-3668
Mailing Address - Street 1:415 BIENVILLE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5700
Mailing Address - Country:US
Mailing Address - Phone:318-357-3668
Mailing Address - Fax:
Practice Address - Street 1:415 BIENVILLE ST STE 2
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5700
Practice Address - Country:US
Practice Address - Phone:318-357-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LADPM200017213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty