| Dr Joshua Harrison Short, MD | |
|
4191 Sw 53rd St, Corvallis, OR 97333-9317 | |
| (859) 699-2237 | |
| Not Available |
| Full Name | Dr Joshua Harrison Short |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4191 Sw 53rd St, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558397596 | NPI | - | NPPES |
| 64103401 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R0783 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua Harrison Short, MD 4191 Sw 53rd St, Corvallis, OR 97333-9317 Ph: (859) 699-2237 | Dr Joshua Harrison Short, MD 4191 Sw 53rd St, Corvallis, OR 97333-9317 Ph: (859) 699-2237 |
Larry Dwayne Sebring, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Sw 26th St, Corvallis, OR 97331 Phone: 541-737-9355 | |
Robert Schweiss, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Dr. Brent C. Wesenberg, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5234 Sw Philomath Blvd, Corvallis, OR 97333 Phone: 541-768-4970 | |
Dr. Benjamin Robert Oldson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1282 | |
Brian Lee Delmonaco, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Ronald U Vallejo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Ethan B. Wilson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5021 |