Individual provider Active NPI

Susannah Quisling Longmuir, M.D.

  • Ophthalmology Physician
  • Nashville, TN
National Provider Identifier
1497975874
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000046118 Issued in TN
Practice address
593 Stewarts Ferry Pike
Nashville, TN 37214-3414
Phone
(615) 885-4900
Fax
(615) 885-4719
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

593 Stewarts Ferry Pike
Nashville, TN 37214-3414
Phone (615) 885-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150309000543 TN Practitioner - Ophthalmology 5395846075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000046118TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susannah Quisling Longmuir MD PC Ophthalmology CurrentSince Nov 11, 2014 Accepting new patients

Locations

593 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 885-4900

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 37041 IA
Ophthalmology Physician 207W00000X MD0000046118 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

593 Stewarts Ferry Pike
Nashville, TN 37214-3414

Mailing address

593 Stewarts Ferry Pike
Nashville, TN 37214-3414
Phone (615) 885-4900

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
55963OtherIAWELLMARK BCBS

Other names 1

NPPES NPI Registry
  • Dr. Susannah Virginia Quisling Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2014.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1497975874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143414",
            "telephone_number": "615-885-4900",
            "fax_number": "615-885-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143414",
            "telephone_number": "615-885-4900",
            "fax_number": "615-885-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGMUIR",
        "first_name": "SUSANNAH",
        "middle_name": "QUISLING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "37041",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000046118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "55963",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNAH",
            "last_name": "QUISLING",
            "middle_name": "VIRGINIA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.