Constance Daphne Wash, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

2001-330 Issued in NM

Practice address

150 S Roadrunner Pkwy
Las Cruces, NM 88011-7044

Phone

(505) 556-8600

Fax

(505) 556-8700

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

University of New Mexico School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
• Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: constance.wash.p1@direct.ahc.nextgenshare.com
• Direct secure messaging: constance.wash@lccc.ikm.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Las Cruces Cancer Care LLC

  • Medical Oncology Physician
  • Las Cruces, NM
  • NPI 1477804409
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Las Cruces Medical Center LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1205882503
  Care Compare affiliation
• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation
• Three Crosses Regional Hospital LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1760020044
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1932148384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-437-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117044",
            "telephone_number": "505-556-8600",
            "fax_number": "505-556-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASH",
        "first_name": "CONSTANCE",
        "middle_name": "DAPHNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NM",
            "license": "2001-330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L0102",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "8R1581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren & Law Dental, LLC
• Darius Milo Warren, CASE MANAGER
• David D Warren, DDS
• Marie Warren
• Richard Warren
• Gabrielle Washington
• Jayla Washington
• Arlene Watson
• Edward R Watson, PA
• Melissa Adrianne Watson, FNP-C

• Medical Oncology Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Medical Oncology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.