Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NOELLE BAROODY, PA-C, DOM
ActiveDR. NOELLE BAROODY, PA-C, DOM is a Surgical Physician Assistant healthcare provider located in GRANTS, New Mexico. NPI 1639580749 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · GRANTS, NM
Registration Details
- NPI Number
- 1639580749
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2014 (12.281166347258 yrs)
- Last Updated
- Apr 14, 2025
- Licenses
-
1140 (NM)PA2022-0139 (NM)
Practice Information
- Address
-
1423 E ROOSEVELT AVEGRANTS, NM, 87020Browse NM providers · Browse ZIP 87020
- Phone
- 5052876500
- Fax
- 5052875393
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.