| Ryan Bradley Longmore, DO | |
|
777 Hospital Way # 101, Pocatello, ID 83201-5175 | |
| (208) 234-2001 | |
| (208) 232-2195 |
| Full Name | Ryan Bradley Longmore |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 18 Years |
| Location | 777 Hospital Way # 101, Pocatello, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285884213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2008024770 (Missouri) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | O-0884 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Bear Lake Memorial Hospital | Montpelier, ID | Hospital |
| Lost Rivers Medical Center | Arco, ID | Hospital |
| Caribou Medical Center | Soda springs, ID | Hospital |
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pocatello Health Services Llc | 6608927637 | 171 |
| Minidoka Memorial Hospital | 7315908894 | 38 |
| Cardiovascular Specialists Of America Llc | 1557773934 | 3 |
| Bear Lake County Memorial Hospital | 5395799860 | 31 |
| Lost Rivers Medical Center | 7810807427 | 16 |
| Entity Name | Medical Imaging Associates of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
| Entity Name | Lost Rivers Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427062181 PECOS PAC ID: 7810807427 Enrollment ID: O20040612000135 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
| Entity Name | Bear Lake County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174741441 PECOS PAC ID: 5395799860 Enrollment ID: O20071003000677 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Entity Name | Lost Rivers Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114925047 PECOS PAC ID: 7810807427 Enrollment ID: O20080409000117 |
| Entity Name | Pocatello Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
| Entity Name | Cardiovascular Specialists of America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871190215 PECOS PAC ID: 1557773934 Enrollment ID: O20201208002277 |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20211021002404 |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Bradley Longmore, DO 777 Hospital Way # 101, Pocatello, ID 83201-5175 Ph: (208) 234-2001 | Ryan Bradley Longmore, DO 777 Hospital Way # 101, Pocatello, ID 83201-5175 Ph: (208) 234-2001 |
Jacob Delarosa, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 |
Dr. Don E Mcinturff, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201 Phone: 208-232-1443 Fax: 208-239-3434 |
Dr. Jarrah Alfadhli, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 |
Gwendoline Fonebi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1720 Fax: 208-239-1726 |
Aditya Singh, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 |
Dr. Boston David Murdoch, DO Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2481 Fax: 208-239-3691 |
Sherwin D'souza, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2302 E. Terry Street, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 |