Stephanie S Long (NPI# 1578534970, PAC ID# 0143238469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1578534970 |
| PAC ID by PECOS | 0143238469 |
| Professional Enrollment ID | I20060329000059 |
| Full Name | Stephanie S Long |
| Organization Legal Name | ARKANSAS VALLEY ANESTHESIA ASSOCIATES PA |
| Address |
1808 W Main St St Marys Regional Medical Center Russellville AR 72802-2724 |
| Phone Number | 4799682841 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9133180417 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040041 | ST MARYS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 | 4799682841 | ARKANSAS VALLEY ANESTHESIA ASSOCIATES PA |
| Organization Legal Name | ARKANSAS VALLEY ANESTHESIA ASSOCIATES PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina D Prince | Certified Registered Nurse Anesthetist (crna) | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Christopher D Prince | Certified Registered Nurse Anesthetist (crna) | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Stanley E Gately | Anesthesiology | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Virgil Rudolph Massey | Anesthesiology | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Thomas C Williams | Anesthesiology | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Michael W Gund | Certified Registered Nurse Anesthetist (crna) | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Clifford G Breier | Certified Registered Nurse Anesthetist | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Street Address |
1808 W MAIN ST ST MARYS REGIONAL MEDICAL CENTER |
| City | RUSSELLVILLE |
| State | AR |
| Zip | 72802-2724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina D Prince | Certified Registered Nurse Anesthetist (crna) | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Clayton H Nash | Family Medicine | Arkansas Emergency Physician Associates Pa | 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 |
| William C Kindrick | Psychiatry | Horizon Mental Health Management LLC | 1808 W Main St, Turning Point Behavioral Health St. Mary's Region, Russellville, AR 72801-2724 |
| Sara Damron | Nurse Practitioner | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Lindsey Sharp | Nurse Practitioner | Arkansas Emergency Physician Associates Pa | 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 |
| Anthony C Davis | Neurology | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Milo Nelson Warner | General Surgery | Arkansas Emergency Physician Associates Pa | 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 |
| Rande Brooke Rye | Nurse Practitioner | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Kim Graves | Family Medicine | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Douglas S Kerin | Diagnostic Radiology | Radiologists of Russellville Pa | 1808 W Main St, Russellville, AR 72801-2724 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank M Lawrence | Ophthalmology | Russellville Eye Clinic Pa | 2711 E Pkwy Dr, Russellville, AR 72802-2006 |
| John N Gillespie | Ophthalmology | Russellville Eye Clinic Pa | 2711 E Pkwy Dr, Russellville, AR 72802-2006 |
| Andrew James Hickman | Optometry | Russellville Eye Clinic Pa | 2711 E Pkwy Dr, Russellville, AR 72802-2006 |
| David S Murphy | Ophthalmology | Russellville Eye Clinic Pa | 2711 E Pkwy Dr, Russellville, AR 72802-2006 |
| Christopher D Prince | Certified Registered Nurse Anesthetist (crna) | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Stanley E Gately | Anesthesiology | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Virgil Rudolph Massey | Anesthesiology | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Thomas C Williams | Anesthesiology | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Michael W Gund | Certified Registered Nurse Anesthetist (crna) | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Clifford G Breier | Certified Registered Nurse Anesthetist | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Find all physicians in zip 72802 | |||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | RUSSELLVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Stephanie S Long.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.