| Connor Michael Bridge, DO | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-1111 | |
| Not Available |
| Full Name | Connor Michael Bridge |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942876032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 95-00025 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | 2023008611 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hutchinson Regional Medical Center Inc | Hutchinson, KS | Hospital |
| Via Christi Hospital-wichita | Wichita, KS | Hospital |
| Via Christi Hospital Wichita St Teresa, Inc | Wichita, KS | Hospital |
| Rock Regional Hospital, Llc | Derby, KS | Hospital |
| Kansas Medical Center Llc | Andover, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hutchinson Regional Medical Center Inc | 0648181198 | 122 |
| Kansas Medical Center Llc | 2668476862 | 42 |
| Cep America - Kansas Llc | 3971814286 | 48 |
| Entity Name | Hutchinson Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972605285 PECOS PAC ID: 0648181198 Enrollment ID: O20040119000578 |
| Entity Name | Cep America - Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659768125 PECOS PAC ID: 3971814286 Enrollment ID: O20150612000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Michael Bridge, DO Po Box 3810, Joplin, MO 64803-3810 Ph: () - | Connor Michael Bridge, DO 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-1111 |
Clinton R Loy, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-3625 | |
Dr. Earnst Douglas Seifert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 Fax: 417-347-2149 | |
Dr. Richard Marvin Blubaugh, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1102 West 32nd Street, Joplin, MO 64804 Phone: 417-347-1111 Fax: 417-347-2149 | |
Matthew Dwight Grounds, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Michelle Pannell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 Fax: 417-208-3625 | |
Dallin Daniel Elmer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Dr. Robert Vincent Steele, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-6612 |