MICHELLE STAM-MACLAREN MD – NPI #1104898063
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MICHELLE STAM-MACLAREN is a physician located in GALLUP, NM. NPPES has assigned the NPI number 1104898063 to MICHELLE STAM-MACLAREN on February 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 09, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHELLE STAM-MACLAREN below.

NPI Profile for
MICHELLE STAM-MACLAREN

NPI Number
1104898063
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MICHELLE STAM-MACLAREN
Credentials
MD
Primary location
2111 COLLEGE DRIVE
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM 87301
Phone: (505) 863-1820 Fax:
Mailing address
1901 REDROCK DR
PFS DEPT
GALLUP, NM 87301-5683
Phone: (505) 863-7000 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHELLE STAM-MACLAREN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBSNMNM004611
OTHERCHAMPUS85031326887301A127
OTHERLOVELACE HEALTH/SALUDNM10002353
OTHERMOLINANMPROVP16359
MEDICAIDAZ433235
MEDICAIDNMS7386
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NM 98-397

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.