Dr. Mark David Antenucci
D.P.M | Podiatrist | 41+ years Exp
Medicare Enrolled
313 West Country Club Rd., Ste. 7, Roswell
New Mexico, 88201
575-624-2398 575-624-0655
Maps & DirectionsDr. Mark David Antenucci is a Roswell, New Mexico based podiatrist with 41 years of experience in Podiatry. He completed his graduation in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark David Antenucci for Podiatry is 184 in New Mexico.
Dr. Mark David Antenucci is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Mark David Antenucci speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M |
| Experience: | 41+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1984 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 313 West Country Club Rd., Ste. 7, Roswell,
New Mexico, 88201 |
| Phone: | 575-624-2398 |
| Fax: | 575-624-0655 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0446254346 |
| Enrollment ID: | I20061010000738 |
| NPI Number: | 1760490759 |
| NPI Enumeration Date: | 04 Aug, 2006 |
| NPI Last Update On: | 24 Jun, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark David Antenucci are as mentioned below.
| License Number | Specialization | State | Status | |
| 184 | Podiatry | New Mexico | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark David Antenucci such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 55657 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 313 West Country Club Rd., Ste. 7
Roswell, New Mexico |
| Zip: | 88201 |
| Phone Number: | 575-624-2398 |
| Fax Number: | 575-624-0655 |
Patients can reach Dr. Mark David Antenucci at
313 West Country Club Rd., Ste. 7, Roswell, New Mexico or can
call to book an appointment on 575-624-2398.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.