| Dr Kaori Miyata Longphre, MD | |
|
705 Green Valley Road, Greensboro, NC 27408 | |
| (336) 272-0012 | |
| Not Available |
| Full Name | Dr Kaori Miyata Longphre |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 705 Green Valley Road, Greensboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679767263 | NPI | - | NPPES |
| 5908081 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 200600372 (North Carolina) | Secondary |
| 207L00000X | Anesthesiology | 200600372 (North Carolina) | Primary |
| Entity Name | Gate City Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225135361 PECOS PAC ID: 8820089329 Enrollment ID: O20040522000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kaori Miyata Longphre, MD 21a Oak Branch Dr, Greensboro, NC 27407-2145 Ph: (336) 478-2666 | Dr Kaori Miyata Longphre, MD 705 Green Valley Road, Greensboro, NC 27408 Ph: (336) 272-0012 |
Freeman R Jackson Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Green Valley Road, Suite 304, Greensboro, NC 27408 Phone: 336-282-4840 | |
Mary Jennette Judd, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Green Valley Rd Ste 304, Greensboro, NC 27408 Phone: 336-282-4840 Fax: 336-282-4660 | |
Alexander F Fortune, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 | |
Dr. David A. Crews, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 | |
Kevin D Ossey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4840 | |
Dr. John Russum Germeroth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 N Elam Ave, Greensboro, NC 27403 Phone: 336-282-4840 | |
Stephen B. Schuster, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 |