ROBERT WAYNE LONG (NPI# 1083985154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083985154 |
| Entity Type | Individual |
| Full Name | ROBERT WAYNE LONG |
| Credential | D.O. |
| Practice Address |
525 Tyler Rd St Charles IL 60174-3305 |
| Practice Telephone | 6305842070 |
| Mailing Telephone | 6305842070 |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2012-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-075581 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482672 | Robert Long | Case Management | 320 S Ridge Rd, Silver City, NM 88061-6610 | 2020-03-19 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1992148720 | Robert James Long | Student in an Organized Health Care Education/Training Program | 34800 Bob, San Diego, CA 92134-0001 | 2013-04-11 |
| 1780953380 | Robert Long | Emergency Medicine | 6016 Driftwood Ave, Ras Tanura, EASTERN PROVINCE 31311 | 2011-12-28 |
| 1437332160 | Robert Earl Long Sr. | Dentist | 527 Desoto Ave, Clarksdale, MS 38614-5216 | 2007-12-17 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1588877500 | Robert Michael Long | Dentist | 4359 Kukui Grove St, #104, Lihue, HI 96766-2008 | 2007-05-07 |
| 1508908880 | Robert Wayne Long | Specialist | 10215 214th Ave E, Bonney Lake, WA 98391-3909 | 2007-02-13 |
| 1194861328 | Robert W Long | Technician/Technologist | 240 Commonwealth Blvd W Ste 108, Martinsville, VA 24112-1841 | 2007-01-29 |
| 1649283334 | Robert Gene Long | Contractor | 1899 -116th Ave Ne, Bellevue, WA 98004 | 2006-08-14 |
| Street Address |
525 TYLER RD |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881949923 | William R Trahan | Dentist | 525 Tyler Rd, Suite E, St Charles, IL 60174-3305 | 2012-07-16 |
| 1841508637 | Lewis Donald Blevins II | Chiropractor | 525 Tyler Rd, Suite A, St Charles, IL 60174-3305 | 2010-09-15 |
| 1861709578 | Eric Walter Hestrup | Chiropractor | 525 Tyler Rd, Suite A, St Charles, IL 60174-3305 | 2010-09-02 |
| 1912152034 | Tricia R Crosby | Dentist | 525 Tyler Rd, Suite E, St Charles, IL 60174-3305 | 2008-11-18 |
| 1336316827 | Timothy W. Sheehan,ltd. | Dentist | 525 Tyler Rd, St Charles, IL 60174-3305 | 2008-05-13 |
| 1497952451 | Brent C Huff | Specialist/Technologist | 525 Tyler Rd, Suite J, St Charles, IL 60174-3305 | 2007-07-02 |
| 1932233269 | Lighthouse Family Chiropractic, Ltd | Chiropractor | 525 Tyler Rd, Unit R-1, St Charles, IL 60174-3305 | 2007-03-16 |
| 1831140573 | Sheryar Masud | Chiropractor | 525 Tyler Rd, Unit R-1, St Charles, IL 60174-3305 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699896498 | Kenneth J Liesen | Family Medicine | 606 Riverside Ave, St Charles, IL 60174-2969 | 2007-04-02 |
| 1609961150 | Wendy Lynn Meyr-cherry | Family Medicine | 400 First Capitol Dr, Suite 405, St Charles, MO 63301 | 2006-10-03 |
| 1003910100 | St Charles Medical Clinic Plc | Family Medicine | 101 E. Main St., St Charles, IA 50240-1522 | 2006-09-11 |
| 1831112176 | Advanced Physical Medicine of Saint Charles | Family Medicine | 40w201 Wasco Rd, Ste Ab, St Charles, IL 60175-8509 | 2006-07-26 |
| 1801847660 | Lindy Hankel | Family Medicine | 403 W 4th St, St Charles, MN 55972-2127 | 2006-05-15 |
| 1750341061 | Vimal Navinchandra Patel | Family Medicine | 2000 W Main St, Suite M, St Charles, IL 60174-1775 | 2006-03-23 |
| 1336138486 | Robert Henry Reeder | Family Medicine | 970 N 5th Ave, St Charles, IL 60174-1227 | 2005-10-20 |
| 1760968663 | Allison Gajownik | Family Medicine | 3310 W Main St Ste 200, St Charles, IL 60175 | 2018-07-13 |
| 1861752123 | Julie Ann Gorski | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2012-05-21 |
| 1487941944 | Binita Chandran | Family Medicine | 110 S 17th St, St Charles, IL 60174-2526 | 2011-07-06 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.