Tuangratch Chow
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Artesia, NM
NPI 1265095756 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1265095756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- POD2023-0002 (NM)
- Practice address
- 702 N 13TH St
Artesia, NM 88210-1166 - Phone
- (575) 748-3333
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231207001653 | NM | Practitioner - Podiatry | 1355790023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artesia General Hospital | Current |
Accepting new patients | |
| Artesia General Hospital | Current |
Accepting new patients | |
| TJC Podiatry | Foot & Ankle Surgery | Current | Accepting new patients |
| Artesia General Hospital | Past | Accepting new patients |
Locations
612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262
702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333
501 5th Ave
Rm 506
New York, NY 10017
Phone (212) 921-7900
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD2023-0002 | NM | Yes |
Addresses
Primary practice location
702 N 13TH St
Artesia, NM 88210-1166
Mailing address
702 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-3333
Other providers in Artesia, NM
- Miranda Ann Carlile
- John Castle
- Koby Crit Caton
- Veronica Chavira
- Horim Choi
- Amy Christiansen
- Andrea Michelle Ciro
- Linda Ann Ciro
- City of Artesia
- Archella Simone Clay
All providers in Artesia, NM · Foot & Ankle 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 Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.