STEPHEN GENE LONG (NPI# 1073598207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073598207 |
| Entity Type | Individual |
| Full Name | STEPHEN GENE LONG |
| Credential | P.A. |
| Practice Address |
4881 Sugar Maple Drive Wpafb Medical Center Wpafb OH 45324 |
| Practice Telephone | 9372573509 |
| Practice Fax Number | 9372573509 |
| Mailing Telephone | 9372573509 |
| Mailing Fax Number | 9372573509 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1033659 NCCPA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376633685 | Stephen Long | Physician Assistant | 1700 Wade Cir, Klamath Falls, OR 97601-1581 | 2006-10-15 |
| 1174586846 | Stephen N Long | Internal Medicine | 783 Doctors Ct, Roxboro, NC 27573-4575 | 2006-04-11 |
| 1285261875 | Stephen Long Jr. | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2020-03-24 |
| 1780071324 | Stephen Long | Counselor | 128 N Chalkville Rd, Trussville, AL 35173-1373 | 2015-04-21 |
| 1518385079 | Stephen Long II | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2014-04-02 |
| 1710211891 | Stephen M Long | Physician Assistant | 1025 Executive Dr, Suite #100, Hixson, TN 37343-7916 | 2009-09-23 |
| 1508070723 | Stephen Michael Long | Chiropractor | 110 N Main St, Miami, OK 74354-6325 | 2007-05-09 |
| 1629117510 | Stephen E Long | Nuclear Medicine | 3231 S National Ave, Suite 130, Springfield, MO 65807-7304 | 2007-02-06 |
| 1275617334 | Stephen T Long | Counselor | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-10-25 |
| 1861505174 | Stephen Long | Psychologist | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-08-17 |
| Street Address |
4881 SUGAR MAPLE DRIVE WPAFB MEDICAL CENTER |
| City | WPAFB |
| State | OH |
| Zip Code | 45324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982796967 | Robert Atisme | Social Worker | 4881 Sugar Maple Drive, Wpafb, OH 45433-5529 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
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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.