DR. MICHAEL ERIC IVORY DO NPI 1952521874

NPI Information

  • NPI: 1952521874
  • Provider Name: DR. MICHAEL ERIC IVORY, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 516 E. NIZHONI BLVD.
    GALLUP, NM
    ZIP 87301
  • Phone: (505) 722-1000

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NPI Details

DR. Michael Eric Ivory, DO is a general practice in Gallup, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Michael Eric Ivory, DO NPI is 1952521874. 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:

516 E. NIZHONI BLVD.
GALLUP, NM
ZIP 87301-337
Phone: (505) 722-1000
Fax: (505) 726-8740

The enumeration date for this NPI number is 4/26/2007 and was last updated on 9/27/2012.

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
1208D00000XGeneral Practice5101007170MICHIGANYes

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
1OM31730 030MEDICARE ID-TYPE UNSPECIFIEDMICHIGANWPS MEDICARE
24709700MEDICAIDMICHIGAN
330010400MEDICAIDWISCONSIN

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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