| Jerry N King, MD | |
|
4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 | |
| (505) 332-6900 | |
| (505) 332-6921 |
| Full Name | Jerry N King |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 4411 The 25 Way Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669476396 | NPI | - | NPPES |
| 45138 | Medicaid | NM | |
| 52713 | Medicaid | NM | |
| 700521102 | Other | NM | MEDICARE GROUP |
| L0634 | Medicaid | NM | |
| 2258272 | Other | NM | MEDICARE GROUP |
| 600521002 | Other | NM | MEDICARE IDTF |
| 800521126 | Other | NM | MEDICARE IDTF |
| 9035 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 80-52 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry N King, MD 4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 Ph: (505) 332-6900 | Jerry N King, MD 4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 Ph: (505) 332-6900 |
Mark Ehrhart, MD Radiology Medicare: Medicare Enrolled Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 | |
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Glenn S. Roush, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4411 The 25 Way Ne, Albuquerque, NM 87109 Phone: 505-332-6921 Fax: 256-382-6455 |