Northern New Mexico Podiatry Assoc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

178 Issued in NM

Legal business name

NORTHERN NEW MEXICO PODIATRY ASSOC.

Practice address

665 Harkle Rd
Santa Fe, NM 87505-4751

Phone

(505) 983-7393

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joel M Wilner, DPM

Title

Podiatrist

Phone

(505) 983-7393

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1609055102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 HARKLE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054751",
            "telephone_number": "505-983-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 HARKLE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054751",
            "telephone_number": "505-983-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW MEXICO PODIATRY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILNER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "505-983-7393",
        "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": "178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54346",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Star Counseling, LLC
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• Northern New Mexico Neuropsychology LLC
• Northern New Mexico Periodontal Assoc.
• Northern New Mexico Vascular Lab Inc.
• Northern NM Gastroenterology
• Northern NM Medical Management, LLC
• Frederic W Northern, PA-C
• Karan Northfield

• Foot & Ankle Surgery Podiatrist in Santa Fe, NM
• Providers in Santa Fe, 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 Apr 20, 2008; 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.