Stephanie Gonzalez DPM PA
NPI 1972127512ActiveOrganization· Clinic/Center, Podiatric· Las Cruces, NM
Clinic/Center, Podiatric in Las Cruces, New Mexico, registered in NPPES in May 2020, part of Stephanie Gonzalez DPM PA. The authorized official on file is Stephanie Gonzalez, DPM, Podiatrist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972127512 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Stephanie Gonzalez DPM PA |
| NPI issued | May 29, 2020 |
| Last updated in NPPES | Jun 23, 2020 |
| Certified by provider | Jun 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Podiatric Primary | 261QP1100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|