MR. JASON LONG (NPI# 1033416151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033416151 |
| Entity Type | Individual |
| Full Name | MR. JASON LONG |
| Credential | M.D. |
| Practice Address |
5841 S. Maryland Ave University of Chicago Hospitals Chicago IL 60637 |
| Mailing Address |
1660 N Lasalle St 2811 Chicago IL 60614-6000 |
| Practice Telephone | 7737021000 |
| Mailing Telephone | 3123156502 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036117184 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526668 | Jason Long | Emergency Medicine | 16727 Blue Shine Trl, Cypress, TX 77433-2596 | 2012-04-03 |
| 1063711075 | Jason Long | Radiology Practitioner Assistant | 2139 Andrews St, Fort Collins, CO 80528-7073 | 2011-03-17 |
| 1821223058 | Jason Long | Physical Therapist | 2121 S Columbia Ave Ste Ll6, Tulsa, OK 74114-3510 | 2009-05-18 |
| 1366554479 | Jason R. Long | Dentist | 1628 West 3rd Ave, Williamson, WV 25661 | 2006-08-31 |
| 1093335481 | Jason Long | Specialist/Technologist | 543 Moriches Middle Island Rd, Manorville, NY 11949-2121 | 2020-04-26 |
| 1255893129 | Jason Long | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-01 |
| 1831461060 | Jason Long | Nurse Anesthetist, Certified Registered | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-02-03 |
| 1629207113 | Jason D Long | Radiology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2009-07-06 |
| Street Address |
5841 S. MARYLAND AVE UNIVERSITY OF CHICAGO HOSPITALS |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184658478 | Christopher Manuel Gomez | Psychiatry & Neurology | 5841 S. Maryland Ave, Mc 2030, Chicago, IL 60637-1470 | 2006-07-10 |
| 1598385601 | Matthew Nathan | Pediatrics | 5841 S. Maryland Ave, Mc1052, Chicago, IL 60637 | 2020-04-18 |
| 1073154829 | Ewelina Orozco | Nurse Practitioner | 5841 S. Maryland Ave, Chicago, IL 60637 | 2019-10-02 |
| 1114489192 | Juan Pablo Alban | Internal Medicine | 5841 S. Maryland Ave, Mc 7082, Chicago, IL 60637-1443 | 2019-04-01 |
| 1144781717 | Michael Larsen | Anesthesiology | 5841 S. Maryland Ave, M/c 4028, Chicago, IL 60637-1443 | 2019-03-27 |
| 1144728783 | Jacqueline Lippe | Nurse Practitioner | 5841 S. Maryland Ave, Mc 2115, Chicago, IL 60637-1470 | 2018-01-29 |
| 1780035337 | Miriam Robinovitz | Psychiatry & Neurology | 5841 S. Maryland Ave, M/c 3077, Chicago, IL 60637-1443 | 2016-06-24 |
| 1821444837 | Jovian Yu | Internal Medicine | 5841 S. Maryland Ave, M/c 2115, Chicago, IL 60637-1443 | 2016-05-09 |
| 1932561156 | Kimberly Joy Beiting | Family Medicine | 5841 S. Maryland Ave, Mc 6098, Chicago, IL 60637-1443 | 2016-03-26 |
| 1316329774 | Lee Michael Stratton | Surgery | 5841 S. Maryland Ave, Rm. G-201, Mc4052, Chicago, IL 60637-1443 | 2015-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| 1700380029 | Alicia Roston | Surgery | 1900 W Polk St Fl 4, Chicago, IL 60612 | 2018-03-21 |
| 1982127114 | Oana Andreea Raicu | Surgery | 836 W Wellington Ave Dept Of, Chicago, IL 60657-5147 | 2017-07-19 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| 1598287039 | Isaac Lee Hanson | Surgery | 1500 S. Fairfield Ave., Chicago, IL 60608 | 2017-07-15 |
| 1669994364 | Lucretia Nicoleta Ghidanac | Surgery | 3714 N Hermitage Ave, Chicago, IL 60613-3509 | 2017-07-13 |
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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.