Provider Demographics
NPI:1306055751
Name:BARKEY, ELISABETH MAGDALENE (MD)
Entity type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:MAGDALENE
Last Name:BARKEY
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 1:435 SAINT MICHAELS DR
Mailing Address - Street 2:A 201
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7672
Mailing Address - Country:US
Mailing Address - Phone:505-982-9282
Mailing Address - Fax:505-988-1106
Practice Address - Street 1:435 SAINT MICHAELS DR
Practice Address - Street 2:A 201
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7672
Practice Address - Country:US
Practice Address - Phone:505-982-9282
Practice Address - Fax:505-988-1106
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME71508Medicare UPIN