DR. DEVIN DEAN WAHLEN (NPI# 1316259930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316259930 |
| Entity Type | Individual |
| Full Name | DR. DEVIN DEAN WAHLEN |
| Credential | D.P.M. |
| Practice Address |
1820 W 21st St Clovis NM 88101-4024 |
| Practice Telephone | (208) 351-4559 |
| Mailing Telephone | 5759353668 |
| Mailing Fax Number | 5759353669 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
349 | NM | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 68923236 | 05 |
| Street Address |
1820 W 21ST ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861473803 | Albert M Kwan | Family Medicine | 1820 W 21st St, Clovis, NM 88101-4024 | 2005-11-08 |
| 1912512542 | Clovis Surgery Center Nm LLC | Orthopaedic Surgery | 1820 W 21st St, Clovis, NM 88101-4024 | 2020-09-10 |
| 1437695327 | Eastern New Mexico Foot & Ankle, PC | Podiatrist | 1820 W 21st St, Clovis, NM 88101-4024 | 2017-01-16 |
| 1477734747 | Albert M Kwan Md PC | Surgery | 1820 W 21st St, Clovis, NM 88101-4024 | 2007-11-15 |
| 1649251679 | Clovis Surgery Center LLC | Clinic/Center | 1820 W 21st St, Clovis, NM 88101-4024 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347009 | Richard William Stamm | Podiatrist | 2425 West 21st Street, Clovis, NM 88101 | 2005-06-27 |
| 1417591744 | West Coast Podiatry, Inc | Podiatrist | 724 Medical Center Dr E Ste 102, Clovis, CA 93611-6811 | 2019-10-30 |
| 1437695327 | Eastern New Mexico Foot & Ankle, PC | Podiatrist | 1820 W 21st St, Clovis, NM 88101-4024 | 2017-01-16 |
| 1568605269 | Felipe Ruiz | Podiatrist | 724 Medical Center Dr E Ste 102, Clovis, CA 93611-6811 | 2009-04-09 |
| 1962538462 | Allen O Clyde | Podiatrist | 688 Medical Center Dr E, Suite 106, Clovis, CA 93611-6807 | 2007-02-26 |
| 1568551026 | Steven T. Naggs | Podiatrist | 1937 W 21st St, Clovis, NM 88101-4025 | 2006-10-12 |
| 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.