Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southside Foot Clinic of Shreveport, Inc. A Professional Corporation

Foot & Ankle Surgery Podiatrist in Shreveport, LA · enumerated 2005 · authorized official Richard Havens, Physician/Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033111240

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Registry record

Entity type Organization (Type 2)

Legal business name Southside Foot Clinic of Shreveport, Inc. A Professional Corporation

Other name <Unavail>

Practice address 9308 Mansfield Rd, Ste 100, Shreveport, LA, 71118

Phone (318) 687-6266

Fax (318) 683-1023

Enumeration date Jun 1, 2005

Last updated in NPPES Dec 29, 2025

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 5B496 (LA) Primary

Authorized official

Name Richard Havens

Title Physician/Administrator

Phone (318) 687-6266

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Southside Foot Clinic of Shreveport, Inc. A Professional Corporation?

The NPI for Southside Foot Clinic of Shreveport, Inc. A Professional Corporation is 1033111240, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Southside Foot Clinic of Shreveport, Inc. A Professional Corporation?

NPPES lists Richard Havens (Physician/Administrator) as the authorized official for this organization.

Providers at this address

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Southside Foot Clinic of Shreveport Inc A Professional Corporation Ambulatory Surgical Clinic/Center · Shreveport, LA NPI 1245215706 Stephen Ertz Podiatrist · Shreveport, LA NPI 1356321681

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-29.