Carla P Longchamp (NPI# 1972544948, PAC ID# 8729003942) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1972544948 |
| PAC ID by PECOS | 8729003942 |
| Professional Enrollment ID | I20051006000906 |
| Full Name | Carla P Longchamp |
| Organization Legal Name | JOHN R GLYER D MILLS MATHESON AND MARGARET ARNER MDS PTR |
| Address |
1245 S Main St Willits CA 95490-4305 |
| Phone Number | 7074596861 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0547458200 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051310 | FRANK R HOWARD MEMORIAL HOSPITAL |
| 050301 | UKIAH VALLEY MEDICAL CENTER |
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1245 S Main St, Willits, CA 95490-4305 | 7074596861 | JOHN R GLYER D MILLS MATHESON AND MARGARET ARNER MDS PTR |
| Organization Legal Name | JOHN R GLYER D MILLS MATHESON AND MARGARET ARNER MDS PTR |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam I Harris | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Angus D Matheson | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Elizabeth Joan Whipkey Olson | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Donald Mills Matheson | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Monte I Lieberfarb | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Street Address |
1245 S MAIN ST |
| City | WILLITS |
| State | CA |
| Zip | 95490-4305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam I Harris | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Angus D Matheson | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Elizabeth Joan Whipkey Olson | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Donald Mills Matheson | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Monte I Lieberfarb | Family Medicine | John R Glyer D Mills Matheson and Margaret Arner Mds Ptr | 1245 S Main St, Willits, CA 95490-4305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Earl T Myers | Optometry | 98 W Commercial St, Willits, CA 95490-3007 | |
| Mary G Delaney | Clinical Social Worker | 152 S Main St, Suite E, Willits, CA 95490-3563 | |
| Robin E Goldner | Clinical Social Worker | 245 S Humboldt St, Suite B, Willits, CA 95490-3576 | |
| Shawna S Handschug | Chiropractic | Shawna Handschug Incorporated | 750 A Central Ave, Willits, CA 95490-3938 |
| Israel Jon Perry | Chiropractic | Shawna Handschug Incorporated | 750 A Central Ave, Willits, CA 95490-3938 |
| Richard P Dipman | Clinical Social Worker | 716 S Main St, Willits, CA 95490-3979 | |
| Adwoa A Christy | Obstetrics/gynecology | Mendocino Community Health Clinic, Inc. | 45 Hazel St, Willits, CA 95490-4222 |
| Suzanna K Sherer | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 45 Hazel St, Willits, CA 95490-4222 |
| William W Bowen | Orthopedic Surgery | 84 Madrone St, Willits, CA 95490-4249 | |
| Ace A Barash | Internal Medicine | 84 Madrone St, Willits, CA 95490-4249 | |
| Find all physicians in zip 95490 | |||
| City | WILLITS |
| Zip Code | 95490 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WILLITS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Carla P Longchamp.
| 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.