Dr Brian Etheridge, MD | |
1007 N Pope St, Silver City, NM 88061-5161 | |
(575) 388-1511 | |
(575) 313-8236 |
Full Name | Dr Brian Etheridge |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1007 N Pope St, Silver City, 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 |
---|---|---|---|
1487767562 | NPI | - | NPPES |
40906361 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD2007-0195 (New Mexico) | Primary |
Entity Name | Hidalgo Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306843180 PECOS PAC ID: 4587572250 Enrollment ID: O20040303001246 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Etheridge, MD 530 De Moss St, Lordsburg, NM 88045-2618 Ph: (575) 542-2307 | Dr Brian Etheridge, MD 1007 N Pope St, Silver City, NM 88061-5161 Ph: (575) 388-1511 |
Donald F. Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 114 W 11th St, Hms Med Square, Silver City, NM 88061 Phone: 575-388-1511 Fax: 575-388-3465 | |
Sam W Lew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 E 32nd St, Silver City, NM 88061 Phone: 575-538-2981 Fax: 855-653-5171 | |
Dr. Raymer William Seavers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1302 E 32nd St, Va Community Clinic, Silver City, NM 88061 Phone: 505-538-2921 Fax: 505-388-9260 | |
Dr. Lindsay Andre Worrell, M.B. B.S. FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1313 E 32nd St, Silver City, NM 88061 Phone: 575-956-5909 | |
Barbara James Mora, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 E 32nd St, Silver City, NM 88061 Phone: 575-538-2981 Fax: 575-388-3373 | |
Dr. Vladimir Spira, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 114 W 11th St, Silver City, NM 88061 Phone: 575-388-1511 Fax: 575-388-3465 |