PODIATRY ASSOCIATES OF NEW MEXICO LTD (NPI# 1770609497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770609497 |
| Entity Type | Organization |
| Organization Name | PODIATRY ASSOCIATES OF NEW MEXICO LTD |
| Practice Address |
711 Encino Pl Ne Suite G Albuquerque NM 87102-2619 |
| Mailing Address |
8300 Carmel Ave Ne Suite 501 Albuquerque NM 87122-3147 |
| Practice Telephone | 5052437600 |
| Mailing Telephone | 5057971001 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | MR. GERARD J KERBLESKI (CO-OWNER) |
| Authorized Official Telephone | 5057971001 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE RAILROAD | CH3682 | 01 |
| NM | 79012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185158 | Podiatry Associates of New Mexico Ltd | Podiatrist | 8300 Carmel Ave Ne, Ste 501, Albuquerque, NM 87122-3125 | 2005-06-21 |
| Street Address |
711 ENCINO PL NE SUITE G |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245208867 | Thomas Henry Bien | Psychologist | 711 Encino Pl Ne, Suite D, Albuquerque, NM 87102-2619 | 2006-03-09 |
| 1205068236 | George Higgins Family Practice LLC | Clinic/Center | 711 Encino Pl Ne, Suite D, Albuquerque, NM 87102-2619 | 2009-08-08 |
| 1003006040 | New Mexico Surgical Associates, Pa | Specialist | 711 Encino Pl Ne, Albuquerque, NM 87102-2619 | 2007-07-26 |
| 1124179486 | Donald Lee Kettwich | Urology | 711 Encino Pl Ne, Suite E, Albuquerque, NM 87102-2619 | 2007-01-15 |
| 1154412740 | Scott Brown Md LLC | Family Medicine | 711 Encino Pl Ne, Suite D, Albuquerque, NM 87102-2619 | 2006-09-27 |
| 1174622666 | James M. Wilterding, M.d., LLC | Clinic/Center | 711 Encino Pl Ne, Suite D, Albuquerque, NM 87102-2619 | 2006-09-21 |
| 1205843240 | Scott Brown | Family Medicine | 711 Encino Pl Ne, Suite D, Albuquerque, NM 87102-2619 | 2006-08-02 |
| 1972565539 | Joseph P Lopez | Specialist | 711 Encino Pl Ne, Albuquerque, NM 87102-2619 | 2006-04-06 |
| 1831151497 | Robert J Lowe | Specialist | 711 Encino Pl Ne, Albuquerque, NM 87102-2619 | 2006-04-06 |
| 1487641981 | Stephen Lampkin Gregg | Internal Medicine | 711 Encino Pl Ne, Suite B, Albuquerque, NM 87102-2619 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 |
| 1649587676 | Omid Hazini | Podiatrist | 1501 San Pedro S.e., Albuquerque, NM 87108 | 2010-09-13 |
| 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 |
| 1396857355 | Katrine Ann Mitchell | Podiatrist | 10511 Golf Course Road Nw, Suite 103, Albuquerque, NM 87048 | 2006-08-31 |
| 1720077050 | Tommy Gene Roe | Podiatrist | 9412 Indian School Rd Ne, Albuquerque, NM 87112-2878 | 2005-10-19 |
| 1366448839 | Gerard J Kerbleski | Podiatrist | 8300 Carmel Ave Ne, Ste 501, Albuquerque, NM 87122-3125 | 2005-06-21 |
| 1063418556 | Shanti Balkissoon-castillo | Podiatrist | 7700 Menaul Blvd Ne, Ste D, Albuquerque, NM 87110-4639 | 2005-06-21 |
| 1356347835 | Sharon Walston Kobos | Podiatrist | 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672 | 2005-06-21 |
| 1821613399 | The Foot and Ankle Clinic of Albuquerque, P.C. | Podiatrist | 717 Encino Pl Ne Ste 3, Albuquerque, NM 87102-2623 | 2020-06-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on PODIATRY ASSOCIATES OF NEW MEXICO LTD.
| 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.