MATTHEW GUETZLAFF DPM NPI 1962068395

NPI Information

NPI: 1962068395
Provider Name: MATTHEW GUETZLAFF, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4343 PAN AMERICAN FWY NE STE 234
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 880-1000
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Matthew Guetzlaff, DPM is a foot and ankle surgery podiatrist in Albuquerque, NM. Matthew Guetzlaff, DPM NPI is 1962068395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4343 PAN AMERICAN FWY NE STE 234
ALBUQUERQUE, NM
ZIP 87107-834
Phone: (505) 880-1000

The NPI 1962068395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/10/2019 and was last updated on 11/8/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	POD472	NEW MEXICO	Yes

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

NPI Synchronization or Removal

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