RIO GRANDE FOOT CLINIC INC (NPI# 1225194608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225194608 |
| Entity Type | Organization |
| Organization Name | RIO GRANDE FOOT CLINIC INC |
| Practice Address |
710 S Alameda Blvd Las Cruces NM 88005-2928 |
| Practice Telephone | 5755238566 |
| Practice Fax Number | 5755252065 |
| Mailing Telephone | 5755238566 |
| Mailing Fax Number | 5755252065 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. DAVID L DEETZ (OWNER) |
| Authorized Official Telephone | 5755238566 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
NM142 | NM | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BLUE CROSS BLUE SHIELD | NM035303 | 01 |
| NM | 54072 | 05 |
| Street Address |
710 S ALAMEDA BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465862 | David L Deetz | Podiatrist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2005-05-31 |
| 1538787452 | Heirloom LLC | Marriage & Family Therapist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2020-07-07 |
| 1285126136 | Wholehearted Wholistic Therapy LLC | Marriage & Family Therapist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699039297 | Michael Douglas Sefcik | Podiatrist | 1135 N Solano Dr, Las Cruces, NM 88001-2349 | 2012-06-28 |
| 1598053332 | Mesilla Valley Footcare Physicians Inc. | Podiatrist | 2930 Hillrise, Las Cruces, NM 88011 | 2011-07-14 |
| 1679617229 | Carlos A Cadena Dpm PC | Podiatrist | 2800 Doral Ct Ste A, Las Cruces, NM 88011-8616 | 2007-02-16 |
| 1922095926 | Carlos A Cadena | Podiatrist | 2800 Doral Ct, Ste A, Las Cruces, NM 88011-8616 | 2005-10-04 |
| 1992327811 | Zia Foot & Ankle | Podiatrist | 4151 Camino Coyote, Las Cruces, NM 88011-7096 | 2020-05-13 |
| 1790955367 | Timothy Chan I | Podiatrist | 2800 Doral Ct, Las Cruces, NM 88011-8616 | 2008-03-10 |
| 1275742074 | Raha M. Mobarak | Podiatrist | 2800 Doral Ct, Las Cruces, NM 88011-8616 | 2007-05-21 |
| 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 |
| 1083029870 | Elise Suzan Janowak | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2014-07-01 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 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 |
| 1376637751 | George C Ochs | Podiatrist | 2400 Unser Blvd Se Ste 8100, Rio Rancho, NM 87124-4740 | 2006-10-03 |
| 1396857355 | Katrine Ann Mitchell | Podiatrist | 10511 Golf Course Road Nw, Suite 103, Albuquerque, NM 87048 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on RIO GRANDE FOOT CLINIC INC.
| 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.