CHRISTIAN DANIEL LONG (NPI# 1336169077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336169077 |
| Entity Type | Individual |
| Full Name | CHRISTIAN DANIEL LONG |
| Credential | PA-C |
| Practice Address |
2196 E Williams Field Rd #116 Gilbert AZ 85295-0754 |
| Practice Telephone | 4802371395 |
| Practice Fax Number | 6022184076 |
| Mailing Telephone | 4802371395 |
| Mailing Fax Number | 6022184076 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2642 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1710142997 | Christian Michael Long | Dentist | 920 Washington St, Huntingdon, PA 16652-1826 | 2008-07-27 |
| Street Address |
2196 E WILLIAMS FIELD RD #116 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-0754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568436673 | Rakeshkumar C Patel | Family Medicine | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2006-02-15 |
| 1942561451 | Zachary Ortiz | Family Medicine | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2012-05-31 |
| 1003993916 | Amanda E Shelley | Physician Assistant | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2006-11-01 |
| 1912010992 | Thomas Y Tsai | Family Medicine | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746379 | Rachael Bither | Physician Assistant | 1520 W Guadalupe Rd Ste 108, Gilbert, AZ 85233-3049 | 2017-12-27 |
| 1861855462 | South Val Vista Medical Group LLC | Physician Assistant | 754 S. Val Vista Dr., #105, Gilbert, AZ 85296 | 2016-03-31 |
| 1972976371 | Christopher Consolino | Physician Assistant | 3303 E Baseline Rd Ste 208, Gilbert, AZ 85234-2728 | 2015-11-06 |
| 1023484201 | Jennifer Bagby | Physician Assistant | 625 N Gilbert Rd Ste 104, Gilbert, AZ 85234-4511 | 2015-08-11 |
| 1720485147 | Elise W Ballou | Physician Assistant | 275 E Rivulon Blvd Ste 201, Gilbert, AZ 85297-0008 | 2014-12-01 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1194126425 | Kevin B Main | Physician Assistant | 3303 E Baseline Rd., Ste #208, Desert Pulmonary & Sleep Consultants, Plc, Gilbert, AZ 85234-2738 | 2014-09-05 |
| 1285057265 | Kristina Marie Todd | Physician Assistant | 4915 E Baseline Rd Ste 124, Gilbert, AZ 85234-2969 | 2014-01-28 |
| 1285885863 | Jane E Stevenson | Physician Assistant | 428 S Gilbert Rd Ste 101, Gilbert, AZ 85296-2261 | 2008-10-01 |
| 1124278254 | Janice Renee Morasch | Physician Assistant | 3645 South Rome Street, Suite 204, Gilbert, AZ 85297 | 2008-09-25 |
| Find all providers in GILBERT | ||||
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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.