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DR. GENTRY LEE HAUGHTON DPM NPI 1316171358


NPI Information

NPI: 1316171358
Provider Name: DR. GENTRY LEE HAUGHTON, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1505 E BERT KOUNS INDUSTRIAL LOOP # 101
SHREVEPORT, LA
ZIP 71105
Phone: (318) 681-7480
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DR. Gentry Lee Haughton, DPM is a foot and ankle surgery podiatrist in Shreveport, LA with 16 years of experience. DR. Gentry Lee Haughton, DPM NPI is 1316171358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1505 E BERT KOUNS INDUSTRIAL LOOP # 101
SHREVEPORT, LA
ZIP 71105-723
Phone: (318) 681-7480
Fax: (318) 681-7481

The NPI 1316171358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 5/5/2009 and was last updated on 1/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryT24-2008TEXASNo
2213ES0103XPodiatristFoot & Ankle SurgeryT13-2009TEXASNo
3213ES0103XPodiatristFoot & Ankle SurgeryT07-2010TEXASNo
4213ES0103XPodiatristFoot & Ankle Surgery200048LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12158210MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.