Provider Demographics
| NPI: | 1093760381 |
|---|---|
| Name: | HOWTON, MARCIA J (MD) |
| Entity type: | Individual |
| Prefix: | MRS |
| First Name: | MARCIA |
| Middle Name: | J |
| Last Name: | HOWTON |
| 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: | 600 WHITESPORT CIR SW |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HUNTSVILLE |
| Mailing Address - State: | AL |
| Mailing Address - Zip Code: | 35801-6495 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 256-882-2003 |
| Mailing Address - Fax: | 256-705-4630 |
| Practice Address - Street 1: | 600 WHITESPORT CIR SW |
| Practice Address - Street 2: | |
| Practice Address - City: | HUNTSVILLE |
| Practice Address - State: | AL |
| Practice Address - Zip Code: | 35801-6495 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 256-882-2003 |
| Practice Address - Fax: | 256-705-4630 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-05-24 |
| Last Update Date: | 2013-04-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| AL | MD31038 | 207L00000X, 207LP2900X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NV | 002016607 | Medicaid | |
| NV | V37451 | Medicare PIN | |
| NV | F41464 | Medicare UPIN | |
| NV | 002016607 | Medicaid |