SANDIA FOOT AND ANKLE, LLC (NPI# 1902335102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902335102 |
| Entity Type | Organization |
| Organization Name | SANDIA FOOT AND ANKLE, LLC |
| Practice Address |
8224 Louisiana Blvd Ne Ste C Albuquerque NM 87113-2108 |
| Practice Telephone | (505) 506-2503 |
| Mailing Telephone | 5055062503 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | JILL REYNOLDS (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 5052261800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
290 | NM | Podiatric Medicine & Surgery Service Providers |
| Street Address |
8224 LOUISIANA BLVD NE STE C |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1093335473 | Seyed Faraz Heydari | Podiatrist | 1501 San Pedro Dr Se # 41, Albuquerque, NM 87108-5180 | 2020-04-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87113 |
Please comment or provide details below to improve the information on SANDIA FOOT AND ANKLE, LLC.
| 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.