JEFFREY C POWELL MD NPI 1194700674

NPI Information

  • NPI: 1194700674
  • Provider Name: JEFFREY C POWELL, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: US HWY 491 NORTH
    SHIPROCK, NM
    ZIP 87420
  • Phone: (505) 368-6401

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NPI Details

Jeffrey C Powell, MD is a pediatrics in Shiprock, 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. Jeffrey C Powell, MD NPI is 1194700674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

US HWY 491 NORTH
SHIPROCK, NM
ZIP 87420
Phone: (505) 368-6401
Fax: (505) 368-6431

The NPI 1194700674 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 12/7/2005 and was last updated on 1/4/2008.

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
1208000000XPediatricsMD00040293WASHINGTONYes

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
183872540MEDICAIDCOLORADO
2320059MEDICARE OSCAR/CERTIFICATION
3714635MEDICAIDARIZONA
4H70780MEDICARE UPIN
531326021MEDICAIDNEW MEXICO
68HAW06MEDICARE PIN

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: 11/21/2025

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