MARY POEL MD NPI 1356313647

NPI Information

NPI: 1356313647
Provider Name: MARY POEL, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2111 COLLEGE DR
GALLUP, NM
ZIP 87301
Phone: (505) 863-1820
Get Directions

Mary Poel, MD is a pediatrics in Gallup, NM. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary Poel, MD NPI is 1356313647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2111 COLLEGE DR
GALLUP, NM
ZIP 87301-600
Phone: (505) 863-1820

The NPI 1356313647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		81-290	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NM002153	OTHER	NEW MEXICO	BCBS
2	10002116	OTHER	NEW MEXICO	LOVELACE HEALTH/SALUD
3	PROVP15475	OTHER	NEW MEXICO	MOLINA
4	228719	MEDICAID	ARIZONA
5	7849	MEDICAID	NEW MEXICO
6	85031326887301A165	OTHER	NEW MEXICO	CHAMPUS
7	C98033	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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