David McKenzie MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAVID MCKENZIE MD PC

Doing business as

David C. McKenzie

Practice address

1808 E Aztec Ave Ste 6
Gallup, NM 87301-4946

Phone

(505) 863-9374

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Marian McKenzie, BUSINESS MANAGERNPI 1346392610

Title

Business Manager

Phone

(505) 863-9374

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David C. McKenzie Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marian H McKenzie, CNP

  • Women's Health Nurse Practitioner
  • Gallup, NM
  • NPI 1346392610
  NPD Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1316135510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 E AZTEC AVE STE 6",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014946",
            "telephone_number": "505-863-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 E AZTEC AVE STE 6",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014946",
            "telephone_number": "505-863-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MCKENZIE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "505-863-9374",
        "authorized_official_credential": "BUSINESS MANAGER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11858",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David C. McKenzie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Dansie, RN
• Sheila Darder Bonilla
• Carmelita Darwin, RN
• Ellouise Harvey Darwin, MSW
• Stephanie Rae Datema, RN
• Tori Davidson
• Mathilda Davis-Levet
• Angela Davis, RN
• April Davis
• Brandi Ann Davis, REGISTERED NURSE

• Family Medicine Physician in Gallup, NM
• Providers in Gallup, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.