Provider Demographics
NPI:1437192267
Name:CAROE, ALAN E (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:E
Last Name:CAROE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 LORI DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-0950
Mailing Address - Country:US
Mailing Address - Phone:575-405-1538
Mailing Address - Fax:
Practice Address - Street 1:610 LORI DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-0950
Practice Address - Country:US
Practice Address - Phone:575-405-1538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2008-0619207ZB0001X, 207ZP0102X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001585930Medicaid
NMCS00214104OtherNEW MEXICO BOARD OF PHARMACY, PRACTITIONER LICENSE
PA001585930Medicaid
PA0412466000OtherAMERIHEALTH 65 PA-YH
PA1546552OtherGATEWAY-YH
NMCS00214104OtherNEW MEXICO BOARD OF PHARMACY, PRACTITIONER LICENSE
PA1140777OtherAMERIHEALTH MERCY-YH
PA590422OtherHIGHMARK BLUE SHIELD-YH
E35138Medicare UPIN
PA590422EZ3Medicare PIN