Susan Elizabeth Erredge, D.P.M.
Individual provider Active NPI Foot Surgery Podiatrist · Zuni, NM
NPI 1174597397 · NPPES record last updated Feb 24, 2015
Key facts
- NPI
- 1174597397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- 0299 (AZ)
- Practice address
- Route 301 North 21 B Ave
Zuni, NM 87327-0467 - Phone
- (505) 782-4431
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-003857 | IL | MD | Foot Surgery Podiatrist |
| 1431 | TX | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen L Barrett DPM PA | Past | Accepting new patients | |
| Podiatric Physicians of Arizona, Inc. | Past | Accepting new patients | |
| Physician Specialty Care Services | Podiatrist | Past | Accepting new patients |
| Sole Foot and Ankle Specialists PC | Podiatrist | Past | Accepting new patients |
| Podiatric Physicians of Arizona, Inc. | Past | Accepting new patients | |
| Multi Specialty Physicians Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0299 | AZ | Yes |
| Foot Surgery Podiatrist | 213ES0131X | 1431 | TX | |
| Foot Surgery Podiatrist | 213ES0131X | 016-003857 | IL |
Addresses
Primary practice location
Route 301 North 21 B Ave
Zuni, NM 87327-0467
Mailing address
PO Box 467
Route 301 North 21 B Ave
Zuni, NM 87327-0467
Phone (505) 782-4431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54555361 | Medicaid | NM | |
| 1295578-06 | Medicaid | TX |
Other providers in Zuni, NM
- Maya Degroote
- Amy Jo Wayea Doughty
- Richard Dryer
- Jennifer Diane Enote Becker
- Olivia Eriacho
- Kate Collins Faber
- David Stuart Fuchs
- Gallup Community Health
- Carrie Lynette Gashytewa
- Kevin Christopher Gauvey-Kern
All providers in Zuni, NM · Foot Surgery Podiatrist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.