Deborah McGrew MD LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

90-246 Issued in NM

Legal business name

DEBORAH MCGREW MD LLC

Practice address

1615 University Blvd NE
Albuquerque, NM 87102-1717

Phone

(206) 353-1942

Fax

(505) 792-5222

NPI assigned

Sep 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Monica L Delmonico, RRT CPHT

Title

Credentialing Coordinator

Phone

(505) 246-6910

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1215362017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021717",
            "telephone_number": "206-353-1942",
            "fax_number": "505-792-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021717",
            "telephone_number": "206-353-1942",
            "fax_number": "505-792-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH MCGREW MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "DELMONICO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "505-246-6910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RRT CPHT"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "90-246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Deblassie III, PH.D.
• Melissa Deboer
• Joe Debonis, LPCC
• Krystal Ann Debonis
• Deborah K. Dlabal, PTPC
• Ilda Debord, LMT
• Debra Ann Carter LPCC LLC
• Jessica Debroisse, OTR/L
• Robert Todd Deburlo, MD
• Decades, LLC

• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.