Nathan Daniel Henrie, MD | |
Us Hwy 491 North, Shiprock, NM 87420 | |
(505) 368-6001 | |
(505) 368-7011 |
Full Name | Nathan Daniel Henrie |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | Us Hwy 491 North, Shiprock, 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 |
---|---|---|---|
1508109489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD2015-0655 (New Mexico) | Primary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
---|---|
Nathan Daniel Henrie, MD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Nathan Daniel Henrie, MD Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
Jeanie K Ringelberg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011 | |
Dr. Jonathan Noah Jordahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Raymundo Torres, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011 | |
Brandon Ross Hill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Patricia A Breeden, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431 | |
Dr. Harry George Bishara, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 |