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STEPHEN LONGSHORE AMBROSE MD NPI 1215432257


NPI Information

NPI: 1215432257
Provider Name: STEPHEN LONGSHORE AMBROSE, MD
Classification: Ophthalmology - 207WX0009X
Entity Type: Individual

Specialization: Glaucoma Specialist

PECOS Registration: Yes

Address:
7400 STATE LINE RD
PRAIRIE VILLAGE, KS
ZIP 66208
Phone: (913) 588-6600
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Stephen Longshore Ambrose, MD is a glaucoma specialist ophthalmology in Prairie Village, KS with 6 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Stephen Longshore Ambrose, MD NPI is 1215432257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

7400 STATE LINE RD
PRAIRIE VILLAGE, KS
ZIP 66208-444
Phone: (913) 588-6600
Fax: (913) 588-6655

The NPI 1215432257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 12/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology91372GEORGIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207WX0009XOphthalmologyGlaucoma Specialist04-47757KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.