NEW MEXICO FOOT AND ANKLE INSTITUTE PC (NPI# 1225103450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225103450 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO FOOT AND ANKLE INSTITUTE PC |
| Practice Address |
4343 Pan American Fwy Ne Ste 234 Albuquerque NM 87107-6834 |
| Practice Telephone | 5058801000 |
| Practice Fax Number | 5058801002 |
| Mailing Telephone | 5058801000 |
| Mailing Fax Number | 5058801002 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | JENNIFER E REED (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5058801000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | LOVELACE | 10004402 | 01 |
| NM | PRASBYTERIAN | 201042850 | 01 |
| NM | 8571325 | 05 | |
| RAILROAD MCR | CK6674 | 01 | |
| NM | BLUE CROSS BLUE SHIELD | NM005490 | 01 |
| NM | MOLINA | PROVB11359 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326570599 | New Mexico Foot and Ankle Institute PC | Podiatrist | 4801 Mcmahon Blvd Nw, Suite 235, Albuquerque, NM 87114-5090 | 2017-03-28 |
| Street Address |
4343 PAN AMERICAN FWY NE STE 234 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-6834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144230061 | Nathan D Ivey | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2006-08-09 |
| 1982010500 | Mark A Tenny | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2014-07-02 |
| 1952720765 | Eve Belle Hui | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2014-04-09 |
| 1548515521 | Justin Alan Ward | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2012-07-17 |
| 1558592337 | Jonathan Levi Williamson | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2009-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1699060202 | Juan Tabo Foot Health Center, PC | Podiatrist | 1925 Juan Tabo Blvd Ne, Suite D, Albuquerque, NM 87112-3366 | 2011-06-10 |
| 1891954657 | Theodore L Varoz Dpm | Podiatrist | 1204 Candelaria Rd Nw, Albuquerque, NM 87107-2766 | 2008-06-06 |
| 1922219203 | Albuquerque Associated Podiatrists | Podiatrist | 121 Sycamore St Ne, Albuquerque, NM 87106-4622 | 2007-05-25 |
| 1528128352 | Faith Carin Shapiro | Podiatrist | 1903 Wyoming Blvd Ne, Suite C, Albuquerque, NM 87112-2821 | 2006-12-11 |
| 1023124203 | Andy Ngoc Ho | Podiatrist | 6727 Academy Rd Ne Ste C, Albuquerque, NM 87109-3369 | 2006-08-21 |
| 1295746857 | Gary D Prant | Podiatrist | 7700 Menaul Blvd Ne Ste D, Albuquerque, NM 87110-4639 | 2006-08-10 |
| 1144230061 | Nathan D Ivey | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2006-08-09 |
| 1205845823 | Benjamin J Hockin | Podiatrist | 8019 Lava Reach Ave Nw Ste A, Albuquerque, NM 87120-6531 | 2006-08-05 |
| 1497769947 | Richard A Weinstein I | Podiatrist | 1925-d Juan Tabo Ne, Albuquerque, NM 87112 | 2006-07-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on NEW MEXICO FOOT AND ANKLE INSTITUTE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.