Makoto Saigusa (NPI# 1417067497, PAC ID# 7012983331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1417067497 |
| PAC ID by PECOS | 7012983331 |
| Professional Enrollment ID | I20040910000566 |
| Full Name | Makoto Saigusa |
| Organization Legal Name | TYLER ORAL AND FACIAL SURGERY INC |
| Address |
705 E Marshall Ave Suite 4003 Longview TX 75601-5660 |
| Phone Number | 9035921664 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 0446272306 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 | 9035921664 | TYLER ORAL AND FACIAL SURGERY INC |
| 1000 S Beckham Ave, Tyler, TX 75701-1908 | 9035970351 | TYLER REGIONAL HOSPITAL LLC |
| 805 Turtle Creek Dr, Tyler, TX 75701-1937 | 9035921664 | TYLER ORAL AND FACIAL SURGERY INC |
| Organization Legal Name | TYLER ORAL AND FACIAL SURGERY INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher L Hasstedt | Oral Surgery | Tyler Oral and Facial Surgery Inc | 805 Turtle Creek Dr, Tyler, TX 75701-1937 |
| Kourt B Chatelain | Oral Surgery | Tyler Oral and Facial Surgery Inc | 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 |
| Jayson J Terres | General Surgery | Tyler Oral and Facial Surgery Inc | 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 |
| Street Address |
705 E MARSHALL AVE SUITE 4003 |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-5660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph J Turner | Obstetrics/gynecology | Zeid Womens Health Center Ltd | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 |
| William Rotzler | Otolaryngology | 705 E Marshall Ave, Suite 5003, Longview, TX 75601-5573 | |
| Vanessa Renee Neiman | Obstetrics/gynecology | Zeid Womens Health Center Ltd | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 |
| Kourt B Chatelain | Oral Surgery | Tyler Oral and Facial Surgery Inc | 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 |
| Ebenezer A Nii-moi | Obstetrics/gynecology | Zeid Womens Health Center Ltd | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 |
| John E Presley | General Surgery | Healogics Specialty Physicians of Texas Pllc | 705 E Marshall Ave, Suite 1004, Longview, TX 75601-5573 |
| Yasser F Zeid | Obstetrics/gynecology | Zeid Womens Health Center Ltd | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 |
| David D Larsen | Family Medicine | Trinity Clinic | 705 E Marshall Ave, 5001 Christus Trinity Clinic, Longview, TX 75601-5524 |
| Jayson J Terres | General Surgery | Tyler Oral and Facial Surgery Inc | 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 |
| Graham Oliver Weaver | Obstetrics/gynecology | Zeid Womens Health Center Ltd | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Thomas Jay Dehaven | Ophthalmology | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LONGVIEW + GENERAL PRACTICE |
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| 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.