M Douglas Sefcik DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

372 Issued in NM

Legal business name

M DOUGLAS SEFCIK DPM LLC

Practice address

1135 N Solano Dr
Las Cruces, NM 88001-2349

Phone

(575) 526-6103

Fax

(575) 526-6347

NPI assigned

Jun 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Douglas Sefcik, DPMNPI 1699039297

Title

Owner

Phone

(575) 526-6103

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Douglas Sefcik, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Cruces, NM
  • NPI 1699039297
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043730799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012349",
            "telephone_number": "575-526-6103",
            "fax_number": "575-526-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012349",
            "telephone_number": "575-526-6103",
            "fax_number": "575-526-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M DOUGLAS SEFCIK DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEFCIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-526-6103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "372",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LW Care LLC
• Thomas E Lyman, LMT
• Stephanie Rose Lynch, FNP
• Charles Monroe Lyon, MD FACS
• Ann-Marie Snyder Lysgaard, MSW
• Robert B Mabry, DDS
• Carol Ann Macdonald-Parra
• Pearl Ann Trujillo Macdonald, LPCC
• Adriana Macias-Smith, MA, LMHC
• Daniela Macias

• Foot & Ankle Surgery Podiatrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Foot & Ankle Surgery Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.