Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark E King, PA

Individual provider Emergency Medicine Physician · NPI 1457442691

Mark E King, PA is a Physician Assistant in Ruidoso, New Mexico. Qualified in 1994, 32 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment. Licensed in New Mexico and Washington.

Years since qualifying
32
Licensed in
NM, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1401 Sudderth Dr
Ruidoso, NM 88345-6104
Phone: (575) 257-7712
Fax: (575) 257-4513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 95-PA19 (NM)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 10003262 (WA)

Record details

NPI number1457442691
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 3, 2012
Mailing address1401 Sudderth Dr, Ruidoso, NM 88345-6104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ruidoso