CHARLES DAVID LONG (NPI# 1033164736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033164736 |
| Entity Type | Individual |
| Full Name | CHARLES DAVID LONG |
| Credential | MD |
| Practice Address |
1250 Greenwood Ave Ste 14 Jenkintown PA 19046-2902 |
| Practice Telephone | 2155726888 |
| Practice Fax Number | 2155725905 |
| Mailing Telephone | 2155726888 |
| Mailing Fax Number | 2155725905 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD043562L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018274790004 | 05 | |
| PA | PERSONAL CHOICE GRP | 052949 | 01 |
| PA | PERSONAL CHOICE | 867646 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 0016511000 | 01 |
| PA | MEDICARE | 043791 - GROUP | 01 |
| PA | BLUE SHIELD | 052949 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962531954 | Charles Martin Long | Technician/Technologist | 7777 Southwest Fwy Ste 106, Houston, TX 77074-1805 | 2007-03-05 |
| 1740271337 | Charles Anthony Long | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942 | 2005-11-02 |
| 1679183727 | Charles Long | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-08-04 |
| 1417482167 | Charles W Long | Orthopaedic Surgery | 230 N Broad St, Philadelphia, PA 19102-1121 | 2017-05-01 |
| 1780035220 | Charles Laurence Long | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-27 |
| 1225155237 | Charles A Long | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-03-23 |
| 1063442028 | Charles Long | Pediatrics | 1205 Marion Ave, Tallahassee, FL 32303-6513 | 2006-07-04 |
| 1316975949 | Charles Long | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-30 |
| 1285678441 | Charles A Long | Physical Therapist | 11 N Main St, Gwinner, ND 58040-4001 | 2006-06-16 |
| 1770527103 | Charles Robert Long | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2006-06-15 |
| Street Address |
1250 GREENWOOD AVE STE 14 |
| City | JENKINTOWN |
| State | PA |
| Zip Code | 19046-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816190 | Carl Richard Ginsberg | Podiatrist | 1250 Greenwood Ave, Suite 05a, Jenkintown, PA 19046-2901 | 2005-07-29 |
| 1346803848 | Wound and Education Consultants LLC | Plastic Surgery | 1250 Greenwood Ave, Jenkintown, PA 19046-2901 | 2019-04-19 |
| 1578935417 | Jenkintown Dental Excellence | Health Maintenance Organization | 1250 Greenwood Ave, Suite 2, Jenkintown, PA 19046-2901 | 2015-10-29 |
| 1740419753 | Sarah Beth Barrett | Social Worker | 1250 Greenwood Ave, Suite 4, Jenkintown, PA 19046-2901 | 2009-07-11 |
| 1376555318 | Elizabeth Turk-karan | Psychologist | 1250 Greenwood Ave, Suite 4, Jenkintown, PA 19046-2901 | 2006-08-11 |
| 1205856580 | Nancy R Rosenthal | Dentist | 1250 Greenwood Ave, St 10, Jenkintown, PA 19046-2901 | 2006-07-20 |
| 1780603571 | Michael H Myers | Dentist | 1250 Greenwood Ave, Suite 2, Jenkintown, PA 19046-2901 | 2006-07-19 |
| 1801822887 | Burton Mass | Internal Medicine | 1250 Greenwood Ave, 327, Jenkintown, PA 19046-2901 | 2006-06-23 |
| 1992759997 | Suburban Plastic Surgeons PC | Plastic Surgery | 1250 Greenwood Ave, Suite 14, Jenkintown, PA 19046-2902 | 2006-05-22 |
| 1295707305 | Linda Ann Petti | Psychologist | 1250 Greenwood Ave, Suite 4, Jenkintown, PA 19046-2901 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
| 1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
| 1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
| 1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
| 1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
| 1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
| 1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
| 1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
| 1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
| 1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
| Find all providers in zip 19046 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551423 | Stc Pediatrics LLC | Plastic Surgery | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1346803848 | Wound and Education Consultants LLC | Plastic Surgery | 1250 Greenwood Ave, Jenkintown, PA 19046-2901 | 2019-04-19 |
| 1992759997 | Suburban Plastic Surgeons PC | Plastic Surgery | 1250 Greenwood Ave, Suite 14, Jenkintown, PA 19046-2902 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298418 | Grunwaldt Falbo Pllc | Plastic Surgery | 873 Bebout Rd, Venetia, PA 15367-1215 | 2020-03-01 |
| 1528606654 | Everest Medspa LLC | Plastic Surgery | 6787 Market St Ste 106, Upper Darby, PA 19082-1848 | 2019-12-19 |
| 1851939771 | Ericka Culp | Plastic Surgery | 5750 Centre Ave Ste 360, Pittsburgh, PA 15206-3761 | 2019-12-11 |
| 1346742871 | Andrea Kristin Chamberlain | Plastic Surgery | 1614 Washington Rd, Pittsburgh, PA 15241-1210 | 2018-02-28 |
| 1205348141 | Kp Aesthetics, LLC. | Plastic Surgery | 4675 W Chester Pike, Newtown Square, PA 19073-2227 | 2017-11-01 |
| 1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
| 1467973305 | Hr Physician Services | Plastic Surgery | 3300 Tillman Dr Ste 201, Bensalem, PA 19020-2071 | 2017-06-30 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1295116473 | Shagun Aggarwal | Plastic Surgery | 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 | 2015-06-14 |
| 1598152852 | Brenton Robinson | Plastic Surgery | 3550 Terrace Street Scaife Hall Suite 668, Pittsburgh, PA 15261-5640 | 2015-04-23 |
| Find all providers with the same taxonomy | ||||
| City | JENKINTOWN |
| Zip Code | 19046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.