Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark David Antenucci, DPM

Individual provider Podiatrist · NPI 1760490759

Dr. Mark David Antenucci, DPM is a Podiatry in Roswell, New Mexico. Qualified in 1984, 42 years ago. Licensed in New Mexico.

Years since qualifying
42
Licensed in
NM
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

313 W Country Club Rd Ste 7
Roswell, NM 88201
Phone: (575) 624-2398
Fax: (575) 624-0655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 184 (NM)

Record details

NPI number1760490759
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJune 24, 2009
Mailing address313 West Country Club Rd., Ste. 7, Roswell, NM 88201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Roswell