| Dr Craig Longridge Southwell, MD | |
|
942 Cedar Lake Ct Se, Olympia, WA 98501-9715 | |
| (360) 481-8186 | |
| Not Available |
| Full Name | Dr Craig Longridge Southwell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 942 Cedar Lake Ct Se, Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689755787 | NPI | - | NPPES |
| 8116519 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00026911 (Washington) | Primary |
| Entity Name | Kittitas County Public Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
| Entity Name | Yakima Valley Memorial Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig Longridge Southwell, MD 942 Cedar Lake Ct Se, Olympia, WA 98501-9715 Ph: (360) 481-8186 | Dr Craig Longridge Southwell, MD 942 Cedar Lake Ct Se, Olympia, WA 98501-9715 Ph: (360) 481-8186 |
Dr. Jeffrey Howard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Dr. Penelope Anne Goode, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia Emergency Services, Olympia, WA 98506 Phone: 360-493-4554 | |
Susan A Derry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Msddh09, Olympia, WA 98506 Phone: 360-918-0119 | |
Dr. Lien Hong Ly, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Dr. Bruce Lincoln, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Daniel Gilday, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-493-4400 | |
Dr. Joshua James Sahara, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7318 Grayhawk Ln Ne, Olympia, WA 98516 Phone: 914-217-4372 |