Healthcare Provider Details

I. General information

NPI: 1821017161
Provider Name (Legal Business Name): CAREY SUE HILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 11/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE GENERAL SURGERY-ACC 2ND FLOOR
ALBUQUERQUE NM
87106-2745
US

IV. Provider business mailing address

1711 ALISO DR NE
ALBUQUERQUE NM
87110-4901
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-0433
  • Fax: 505-272-0432
Mailing address:
  • Phone: 505-232-0066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number4301102955
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number036136748
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number2002-0287
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: