Provider Demographics
NPI:1467645465
Name:CONTEMPORARY FOOTSTEPS, L.L.C.
Entity Type:Organization
Organization Name:CONTEMPORARY FOOTSTEPS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:HEDGEMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-925-2055
Mailing Address - Street 1:606 COLONIAL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6535
Mailing Address - Country:US
Mailing Address - Phone:225-925-2055
Mailing Address - Fax:225-926-9674
Practice Address - Street 1:606 COLONIAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6535
Practice Address - Country:US
Practice Address - Phone:225-925-2055
Practice Address - Fax:225-926-9674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06831R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1354368Medicaid
B50029Medicare UPIN