MEDICARE: SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist
2	213ES0103X	Foot & Ankle Surgery Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DA5243	OTHER	NM	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235226614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	1016 W PIERCE ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4013
Country	:	US
Telephone Number	:	575-885-3445
Fax Number	:	575-887-0163

Provider Business Practice Location Address
First Line	:	1016 W PIERCE ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4013
Country	:	US
Telephone Number	:	575-885-3445
Fax Number	:	575-887-0163

Authorized Official
Title or Position	:	OWNER PHYSICIAN
Name	:	DR. LYLE REY FOLSOM
Credential	:	DPM
Telephone Number	:	575-885-3445

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	11/05/2010

Similar Medicare Providers

1285637041 — DR. DERIK J BROWN DPM
Practice Location Address:

1016 W PIERCE ST
CARLSBAD, NM
88220-4013

Practice Phone: 575-885-3445
Practice Fax: 575-887-0163

1770698334 — DR. LYLE REY FOLSOM DPM
Practice Location Address:

1016 W PIERCE ST
CARLSBAD, NM
88220-4013

Practice Phone: 575-885-3445
Practice Fax: 575-887-0163

1205080603 — ADUZ HEALTHCARE SERVICES, PC
Practice Location Address:

1016 W PIERCE ST
CARLSBAD, NM
88220-4013

Practice Phone: 575-361-2610
Practice Fax:

1376475467 — CLAUDIA MORALES
Practice Location Address:

1900 WESTRIDGE RD
CARLSBAD, NM
88220-3550

Practice Phone: 575-725-5552
Practice Fax: 575-725-5552

1760326474 — LEVI TAYLOR
Practice Location Address:

1900 WESTRIDGE RD
CARLSBAD, NM
88220-3550

Practice Phone: 575-725-5552
Practice Fax: 575-725-5552

1285639443 — DR. RONDA SUE FLECK M.D.
Practice Location Address:

2428 W PIERCE ST
CARLSBAD, NM
88220-3512

Practice Phone: 575-887-0272
Practice Fax: 575-628-0279

Directions to “SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.