Stephen R Southerland, MD | |
200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | |
(360) 254-6161 | |
(360) 449-1146 |
Full Name | Stephen R Southerland |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 36 Years |
Location | 200 Ne Mother Joseph Pl, Vancouver, Washington |
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 |
---|---|---|---|
1225078371 | NPI | - | NPPES |
8292658 | Medicaid | WA | |
287145 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD34449 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Columbia Memorial Hospital | Astoria, OR | Hospital |
Skyline Hospital | White salmon, WA | Hospital |
Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Surgical Specialists Pc | 4183527153 | 104 |
Northwest Surgical Specialists Pc | 4183527153 | 104 |
Entity Name | Northwest Surgical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730118803 PECOS PAC ID: 4183527153 Enrollment ID: O20040128000538 |
Mailing Address | Practice Location Address |
---|---|
Stephen R Southerland, MD 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 Ph: (360) 254-6161 | Stephen R Southerland, MD 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 Ph: (360) 254-6161 |
Edward H. Coale, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 | |
Jerome J Dasilva, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Place, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1139 | |
Akaila Cabell-coleman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 | |
Dr. Samuel Draper Weirich, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684 Phone: 360-449-7039 Fax: 960-449-7034 | |
Alan P. Newman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 | |
Edward A. Sparling, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 | |
Edgar K. Ragsdale, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 |