Patrick W Connelly (NPI# 1619965548, PAC ID# 1658266325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1619965548 |
| PAC ID by PECOS | 1658266325 |
| Professional Enrollment ID | I20061026000552 |
| Full Name | Patrick W Connelly |
| Organization Legal Name | CONNELLY CARE PLLC |
| Address |
5300 S Sutter Dr Suite 11 Show Low AZ 85901-8050 |
| Phone Number | 9285379844 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7012914203 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030062 | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 | 9285379844 | CONNELLY CARE PLLC |
| Organization Legal Name | CONNELLY CARE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel D Evans | Obstetrics/gynecology | Connelly Care Pllc | 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 |
| Kimberly A Washburn | Nurse Practitioner | Connelly Care Pllc | 1401 Florida St, Holbrook, AZ 86025-2218 |
| Street Address |
5300 S SUTTER DR SUITE 11 |
| City | SHOW LOW |
| State | AZ |
| Zip | 85901-8050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel D Evans | Obstetrics/gynecology | Connelly Care Pllc | 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 |
| Constance L Collman | Nurse Practitioner | Summit Healthcare Medical Associates | 5300 S Sutter Dr, Suite 1, Show Low, AZ 85901-8055 |
| Travis W Hamblin | Dermatology | Hamblin Dermatology Pllc | 5300 S Sutter Dr, Suite 12, Show Low, AZ 85901-8050 |
| Brian Ellis Paronto | Nurse Practitioner | Summit Healthcare Medical Associates | 5300 S Sutter Dr, Suite 1, Show Low, AZ 85901-8055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois R Speelman | Nurse Practitioner | Your Family Practice Team PC | 2051 Evergreen Lane D, Show Low, AZ 85901 |
| Jeffrey R Moore | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Heather John | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Victoria Karim | Audiologist | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 | |
| Salvacion Powell | Nurse Practitioner | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Melissa M Starkel | Clinical Social Worker | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Derek L Ringers | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Michael E Brown | Family Practice | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Gary D Parker | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| William K Horne | Chiropractic | 708 E Deuce of Clubs Ave, Show Low, AZ 85901-4926 | |
| Find all physicians in zip 85901 | |||
| City | SHOW LOW |
| Zip Code | 85901 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SHOW LOW + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.