DR. CRAIG LONGRIDGE SOUTHWELL (NPI# 1689755787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689755787 |
| Entity Type | Individual |
| Full Name | DR. CRAIG LONGRIDGE SOUTHWELL |
| Credential | M.D. |
| Practice Address |
942 Cedar Lake Ct Se Olympia WA 98501-9715 |
| Practice Telephone | 3604818186 |
| Mailing Telephone | 3604818186 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00026911 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8116519 | 05 |
| Street Address |
942 CEDAR LAKE CT SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306059605 | Liliane Joyce Bartha | Family Medicine | 942 Cedar Lake Ct Se, Olympia, WA 98501-9715 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802320 | Anders Conway | Emergency Medicine | 413 Lilly Rd Ne Dept Of, Olympia, WA 98506-5133 | 2017-03-24 |
| 1073777876 | Joshua James Sahara | Emergency Medicine | 7318 Grayhawk Ln Ne, Olympia, WA 98516-9345 | 2008-07-11 |
| 1730355330 | Anna Mckeone | Emergency Medicine | 413 Lilly Rd. Ne Mail Stop Ddh09, Olympia Emergency Services, Pllc, Olympia, WA 98506 | 2008-05-02 |
| 1952508848 | Jason Michael Desadier | Emergency Medicine | 8324 55th Ave Se, Olympia, WA 98513-4606 | 2007-07-02 |
| 1174662100 | Timothy Zola | Emergency Medicine | 324 W Bay Dr Nw Ste 105, Olympia, WA 98502-4926 | 2007-02-06 |
| 1144242454 | Robert Alan Taylor | Emergency Medicine | 1701 Camden Park Dr Sw, Olympia, WA 98512-5506 | 2006-07-24 |
| 1588607980 | Michael Kent Thompson | Emergency Medicine | 1001 Cooper Point Rd Sw, Suite 140 Pmb 167, Olympia, WA 98502-1107 | 2006-06-14 |
| 1235661455 | Clayton Pratt | Emergency Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2017-03-28 |
| 1356766745 | Ian Strand | Emergency Medicine | 413 Lilly Rd Ne, Olympia, WA 98506 | 2014-02-21 |
| 1518233089 | John Ngo | Emergency Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2012-03-28 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.