| Patrick J Connor, MD | |
|
211 Sudderth, Lincoln County Medical Center, Ruidoso, NM 88345 | |
| (505) 257-8200 | |
| (505) 630-4233 |
| Full Name | Patrick J Connor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 211 Sudderth, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295821197 | NPI | - | NPPES |
| 45972737 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD2006-0463 (New Mexico) | Secondary |
| 207P00000X | Emergency Medicine | 036.075569 (Illinois) | Primary |
| Entity Name | Crawford Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Connor, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Patrick J Connor, MD 211 Sudderth, Lincoln County Medical Center, Ruidoso, NM 88345 Ph: (505) 257-8200 |
Bradford Lee Cambron, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-8200 | |
Mark E King, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-7712 Fax: 575-257-4513 |