Provider Demographics
NPI:1861587768
Name:ELISABETH BARKEY MD INC
Entity type:Organization
Organization Name:ELISABETH BARKEY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:MAGDALENE
Authorized Official - Last Name:BARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:505-982-9282
Mailing Address - Street 1:435 ST MICHAELS DRIVE
Mailing Address - Street 2:STE A201
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505
Mailing Address - Country:US
Mailing Address - Phone:505-982-9282
Mailing Address - Fax:505-988-1106
Practice Address - Street 1:435 ST MICHAELS DRIVE
Practice Address - Street 2:STE A201
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505
Practice Address - Country:US
Practice Address - Phone:505-982-9282
Practice Address - Fax:505-988-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E71508Medicare UPIN