SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC (NPI# 1235226614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235226614 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC |
| Other Organization Name | SOUTHEAST NEW MEXICO PODIATRY |
| Practice Address |
1016 W Pierce St Carlsbad NM 88220-4013 |
| Practice Telephone | 5758853445 |
| Practice Fax Number | 5758870163 |
| Mailing Telephone | 5758853445 |
| Mailing Fax Number | 5758870163 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-11-05 |
| Authorized Official Name | DR. LYLE REY FOLSOM (OWNER PHYSICIAN) |
| Authorized Official Telephone | 5758853445 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | RR MEDICARE | DA5243 | 01 |
| NM | 89008863 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast New Mexico Podiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477111482 | Southeast New Mexico Podiatry Associates Inc | Durable Medical Equipment & Medical Supplies | 5419 N Lovington Hwy Ste 9, Hobbs, NM 88240-9135 | 2019-06-04 |
| Street Address |
1016 W PIERCE ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637041 | Derik J Brown | Podiatrist | 1016 W Pierce St, Carlsbad, NM 88220-4013 | 2005-05-24 |
| 1205080603 | Aduz Healthcare Services, PC | Clinic/Center | 1016 W Pierce St, Carlsbad, NM 88220-4013 | 2008-11-11 |
| 1770698334 | Lyle Rey Folsom | Podiatrist | 1016 W Pierce St, Carlsbad, NM 88220-4013 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568675007 | Theodore Basile Qozi | Podiatrist | 2617 Town Garden Road, Carlsbad, CA 92009-3072 | 2007-05-08 |
| 1285637041 | Derik J Brown | Podiatrist | 1016 W Pierce St, Carlsbad, NM 88220-4013 | 2005-05-24 |
| 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 |
| 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 |
| 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.