JASON LONG (NPI# 1063711075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063711075 |
| Entity Type | Individual |
| Full Name | JASON LONG |
| Credential | RPA |
| Practice Address |
2139 Andrews St Fort Collins CO 80528-7073 |
| Practice Telephone | 9703772605 |
| Mailing Telephone | 9703772605 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 243U00000X | Radiology Practitioner Assistant | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526668 | Jason Long | Emergency Medicine | 16727 Blue Shine Trl, Cypress, TX 77433-2596 | 2012-04-03 |
| 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 |
| 1033416151 | Jason Long | Surgery | 5841 S. Maryland Ave, University of Chicago Hospitals, Chicago, IL 60637 | 2011-02-25 |
| 1629207113 | Jason D Long | Radiology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2009-07-06 |
| Street Address |
2139 ANDREWS ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-7073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 243U00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiology Practitioner Assistant |
| A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas. |
| Notes: Source: Certification Board of Radiology Practitioner Assistants [7/1/2008: new] Additional Resources: www.cbrpa.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199840 | Teena Elaine Brenkendorff | Radiology Practitioner Assistant | 125 Inverness Dr E Ste 140, Englewood, CO 80112-5138 | 2020-03-19 |
| 1700411451 | Angel Stout-padovani | Radiology Practitioner Assistant | 1819 Denver West Dr Ste 101, Lakewood, CO 80401-3172 | 2020-03-03 |
| 1801235239 | Cary L Thorson | Radiology Practitioner Assistant | 2505 Black Duck Ave, Johnstown, CO 80534-4602 | 2013-06-19 |
| 1689923336 | Sara Helena Russell | Radiology Practitioner Assistant | 2490 W 26th Ave Ste 10a, Denver, CO 80211-5300 | 2012-09-09 |
| 1851695233 | Thomas T Jenkins | Radiology Practitioner Assistant | 2490 W 26th Ave Ste 220a, Denver, CO 80211-5385 | 2010-12-29 |
| 1962701433 | Stephen Meeker | Radiology Practitioner Assistant | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2011-03-22 |
| 1871897256 | Ernest Edward Gould Jr. | Radiology Practitioner Assistant | 2490 W 26th Ave Ste 220a, Denver, CO 80211-5385 | 2010-12-29 |
| 1750522702 | Siamak Shahmohammadi | Radiology Practitioner Assistant | 805 Eagleridge Blvd, Suite #50, Pueblo, CO 81008-2193 | 2009-03-19 |
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.