Michael R Pincus DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NM130 Issued in NM

Legal business name

MICHAEL R PINCUS DPM LLC

Practice address

2207 Golf Course Rd SE Ste a
Rio Rancho, NM 87124-1954

Phone

(505) 896-1500

Fax

(505) 896-1113

NPI assigned

Jul 19, 2007

Last updated

Apr 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Pincus

Title

Manager

Phone

(505) 896-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cole Barton, DPM

  • Podiatrist
  • Rio Rancho, NM
  • NPI 1790278851
  NPD
• Gerald Stephen Cotto, FNP

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1104541036
  NPD (past)
• Kha Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1972162923
  NPD (past)
• Todd N Smith, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pine Ridge, SD
  • NPI 1912973603
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1255531083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 GOLF COURSE RD SE STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241954",
            "telephone_number": "505-896-1500",
            "fax_number": "505-896-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 GOLF COURSE RD SE STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241954",
            "telephone_number": "505-896-1500",
            "fax_number": "505-896-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R PINCUS DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "PINCUS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-896-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "NM130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53355",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Merida
• Amber Fay Merritt, LMSW
• Joseph Merritt
• Heather Anne Messier, PT
• Simon E. Meykler, DO
• Lynda Marie Michalk, PT
• Daniel Thomas Michaud, CNP
• Jean Sherri Miera, M.S.
• Jeremy Miera
• Angelina Vera Migizishik

• Podiatrist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.