ROTH BUN EA (NPI# 1467984096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467984096 |
| Entity Type | Individual |
| Full Name | ROTH BUN EA |
| Practice Address |
2019 Galisteo St Ste K-2 Santa Fe NM 87505-2143 |
| Mailing Address |
555 31st St Downers Grove IL 60515-1235 |
| Practice Telephone | 5053959575 |
| Practice Fax Number | 8775401253 |
| Mailing Telephone | 2198360296 |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD436 | NM | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICAL LICENSE | POD436 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1399 Weimer Rd Ste 400, Taos, NM 875716348 | 5752148521 | 8775401253 |
| Street Address |
2019 GALISTEO ST STE K-2 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029870 | Elise Suzan Janowak | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2014-07-01 |
| 1497364780 | Rio Grande Foot & Ankle Specialists LLC | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2020-07-23 |
| 1750938478 | Rio Grande Foot & Ankle Specialists LLC | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2019-08-19 |
| 1134611460 | Nicholas L Hugentobler PC | Durable Medical Equipment & Medical Supplies | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029870 | Elise Suzan Janowak | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2014-07-01 |
| 1154395606 | Joel M Wilner | Podiatrist | 665 Harkle Rd, Santa Fe, NM 87505-4751 | 2006-02-13 |
| 1497364780 | Rio Grande Foot & Ankle Specialists LLC | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2020-07-23 |
| 1750938478 | Rio Grande Foot & Ankle Specialists LLC | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2019-08-19 |
| 1750546859 | Douglas Tozzoli, Dpm, PC | Podiatrist | 539 Harkle Rd, Suite C, Santa Fe, NM 87505-4782 | 2008-07-28 |
| 1609055102 | Northern New Mexico Podiatry Assoc. | Podiatrist | 665 Harkle Rd, Santa Fe, NM 87505-4751 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902335102 | Sandia Foot and Ankle, LLC | Podiatrist | 8224 Louisiana Blvd Ne Ste C, Albuquerque, NM 87113-2108 | 2017-06-09 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1699039297 | Michael Douglas Sefcik | Podiatrist | 1135 N Solano Dr, Las Cruces, NM 88001-2349 | 2012-06-28 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1598053332 | Mesilla Valley Footcare Physicians Inc. | Podiatrist | 2930 Hillrise, Las Cruces, NM 88011 | 2011-07-14 |
| 1649587676 | Omid Hazini | Podiatrist | 1501 San Pedro S.e., Albuquerque, NM 87108 | 2010-09-13 |
| 1164745824 | Scott William Gordon | Podiatrist | 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 | 2010-03-10 |
| 1265766992 | Uchenna Chukwurah | Podiatrist | 717 Encino Pl Ne Ste 3, Albuquerque, NM 87102-2623 | 2009-09-29 |
| 1427294982 | Roderick Douglas Farley | Podiatrist | 8001 Merissa Ln Ne, Albuquerque, NM 87122-3763 | 2009-01-05 |
| 1679617229 | Carlos A Cadena Dpm PC | Podiatrist | 2800 Doral Ct Ste A, Las Cruces, NM 88011-8616 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
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| 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.