| Foot & Ankle Specialists Of New Mexico Pc | |
|
5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672 | |
| (505) 271-9900 | |
| (505) 271-0217 |
| Full Name | Foot & Ankle Specialists Of New Mexico Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 5111 Juan Tabo Blvd Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912048711 | NPI | - | NPPES |
| 59675 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 212 (New Mexico) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 212 (New Mexico) | Secondary |
| Provider Name | Jason Dodder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790744951 PECOS PAC ID: 6305834276 Enrollment ID: I20040501000192 |
| Provider Name | Brent A Frame |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407879703 PECOS PAC ID: 4284642554 Enrollment ID: I20060328000439 |
| Provider Name | Sharon W Kobos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356347835 PECOS PAC ID: 5193820546 Enrollment ID: I20070413000469 |
| Provider Name | Steven S Wrege |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447248000 PECOS PAC ID: 1254422884 Enrollment ID: I20070810000190 |
| Provider Name | Joshua J Marshall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669804993 PECOS PAC ID: 9234420290 Enrollment ID: I20160622000628 |
| Provider Name | Sara E Grzywa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124413836 PECOS PAC ID: 9436442670 Enrollment ID: I20190729000685 |
| Provider Name | Daniel L Peterson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437536786 PECOS PAC ID: 0648576447 Enrollment ID: I20190814003033 |
| Provider Name | Jeremy Strange |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023256120 PECOS PAC ID: 9830367689 Enrollment ID: I20220621000031 |
| Provider Name | Stephen Sinclair-hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194386219 PECOS PAC ID: 4688053622 Enrollment ID: I20220621002989 |
| Provider Name | Jason Tyler Dunn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194385096 PECOS PAC ID: 5597147017 Enrollment ID: I20220801000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot & Ankle Specialists Of New Mexico Pc 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672 Ph: (505) 271-9900 | Foot & Ankle Specialists Of New Mexico Pc 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672 Ph: (505) 271-9900 |
Gay L Gustafson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7700 Menaul Blvd Ne, Ste D, Albuquerque, NM 87110 Phone: 505-299-4487 Fax: 505-299-4498 | |
Dr. Jay Patrick Lewis, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8300 Carmel Ave Ne Bldg 5, Albuquerque, NM 87122 Phone: 505-717-1274 | |
Dr. Diana Tran Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 832-613-7598 | |
Andy Ngoc Ho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6727 Academy Rd Ne Ste C, Albuquerque, NM 87109 Phone: 505-341-0070 | |
Dr. Jeremy Strange, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111 Phone: 505-271-9900 Fax: 505-271-0217 | |
Shanti Balkissoon-castillo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8300 Carmel Ave Ne Ste 501, Albuquerque, NM 87122 Phone: 505-717-1274 Fax: 505-717-1879 | |
Paul Whitehouse, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 Fax: 505-256-5743 |