Provider Demographics
NPI: | 1093760381 |
---|---|
Name: | HOWTON, MARCIA J (MD) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | MARCIA |
Middle Name: | J |
Last Name: | HOWTON |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 600 WHITESPORT CIR SW |
Mailing Address - Street 2: | |
Mailing Address - City: | HUNTSVILLE |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 35801-6495 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 256-882-2003 |
Mailing Address - Fax: | 256-705-4630 |
Practice Address - Street 1: | 600 WHITESPORT CIR SW |
Practice Address - Street 2: | |
Practice Address - City: | HUNTSVILLE |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35801-6495 |
Practice Address - Country: | US |
Practice Address - Phone: | 256-882-2003 |
Practice Address - Fax: | 256-705-4630 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-05-24 |
Last Update Date: | 2013-04-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AL | MD31038 | 207L00000X, 207LP2900X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NV | 002016607 | Medicaid | |
NV | V37451 | Medicare PIN | |
NV | F41464 | Medicare UPIN | |
NV | 002016607 | Medicaid |