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DR. MICHAEL ERIC IVORY DO
NPI 1952521874
General Practice in Gallup, NM

Active since April 26, 2007
516 E. NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 726-8740 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Eric Ivory Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ERIC IVORY DO (NPI 1952521874) is an individual general practice provider in Gallup, New Mexico, licensed in Michigan (5101007170) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1952521874
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MICHAEL ERIC IVORYCredential: DO
Location Address516 E. NIZHONI BLVD.Gallup, NM 87301-1337
Mailing Address4070 N Chipman StOwosso, MI 48867-9444 · (989) 723-5236
Phone(505) 722-1000
Fax(505) 726-8740
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1952521874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 5101007170
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
516 E. NIZHONI BLVD., Gallup, NM 87301
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Other Identifiers 3

Medicare ID-Type UnspecifiedOM31730 030MI · Wps Medicare
Medicaid4709700MI
Medicaid30010400WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY L. AMBROSE DDS
Dentist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DR. CARLOS MANUEL DE SANCTIS M.D.
Pediatrics
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DEVIN GLASSES PA-C
Physician Assistant
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
LILY HUGAR MA CCC-A
Audiologist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
ALICIA SLIM RN
Registered Nurse
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DONALD JOEL LEWIS-KRAITSIK M.D.
Family Medicine
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
JOHN M GOSSARD M.D.
Orthopaedic Surgery
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000
TARA A. WHITSON RDH
Dental Hygienist
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ivory's NPI number?

The NPI number for Michael Ivory is 1952521874. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Michael Ivory located?

Michael Ivory practices at 516 E. Nizhoni Blvd., Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Michael Ivory's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Michael Ivory was last updated on September 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.