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ALBUQUERQUE FOOT & ANKLE INC. NPI 1205973401


NPI Information

NPI: 1205973401
Provider Name: ALBUQUERQUE FOOT & ANKLE, INC.

Former Legal Business Name: SHARON WALSTON FOOT AND ANKLE SPECIALIST, LLC

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

CLIA Number: 32D2065620

Address:
6821 MONTGOMERY BLVD NE
SUITE D
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 881-8081
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ALBUQUERQUE FOOT & ANKLE, INC. is a podiatric clinic center in Albuquerque, NM. ALBUQUERQUE FOOT & ANKLE, INC. NPI is 1205973401. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Sharon Walston Foot And Ankle Specialist, Llc.

The provider's business location address is:

6821 MONTGOMERY BLVD NE
SUITE D
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 881-8081
Fax: (505) 883-5997

The provider's authorized official is Sharon Walston Kobos .
The authorized official title is Podiatrist and has the following contact phone number (505) 881-8081.

The CLIA number assigned to this NPI record is 32D2065620 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 11/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP1100XClinic/CenterPodiatric291NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16363670001MEDICARE NSCNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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