DR. JACK E LONG


Address: 100 E 33rd St Ste 100, Vancouver, WA 98663-2776
Phone: 3602562000

DR. JACK E LONG (NPI# 1366480949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366480949
Entity Type Individual
Full Name DR. JACK E LONG
Credential MD
Practice Address 100 E 33rd St Ste 100
Vancouver
WA 98663-2776
Mailing Address Po Box 1600
Vancouver
WA 98668-1600
Practice Telephone 3602562000
Practice Fax Number 3605147553
Mailing Telephone 3605147550
Mailing Fax Number 3605147553
Enumeration Date 2006-06-03
Last Update Date 2008-02-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD00028913 WA Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MD00028913 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8131195 05

Other Providers JACK LONG

NPI Name Taxonomy Address Enumeration
1184792129 Jack A Long Chiropractor 2893 E Green Canyon Dr, Meridian, ID 83642-9105 2006-11-30
1447296629 Jack Martin Long Social Worker 720c Maiden Choice Ln, Catonsville, MD 21228-5940 2006-06-22
1861918534 Jack Long Physical Therapist 425 Waverley Oaks Rd, Waltham, MA 02452-8448 2017-08-15
1376534917 Jack Calhoun Long Specialist 1900 Scenic Dr, Suite 3318, Georgetown, TX 78626-7724 2005-11-02

Office Location

Street Address 100 E 33RD ST STE 100
City VANCOUVER
State WA
Zip Code 98663-2776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457971244 Charis Mok Family Medicine 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2020-04-21
1043830045 Diego Aviles Student in an Organized Health Care Education/Training Program 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2020-04-20
1689293730 Angela Rofelty Family Medicine 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2020-04-09
1235777269 Jenna Danielle Stevens Physician Assistant 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2019-12-20
1033773775 Martin Robert Box Student in an Organized Health Care Education/Training Program 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2019-04-29
1508420456 Kristen Anne Tremaine Student in an Organized Health Care Education/Training Program 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2019-04-25
1295398691 Jordan Robert Albrich Student in an Organized Health Care Education/Training Program 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2019-04-21
1508429093 Samual Kelly Lavis Student in an Organized Health Care Education/Training Program 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2019-04-19
1427611102 Jacqueline Blacnche Berglass Student in an Organized Health Care Education/Training Program 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2019-04-17
1891258331 Curtis Papenfuss Student in an Organized Health Care Education/Training Program 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2019-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053946673 Jessica Maree Carnes Dental Hygienist 6505 Nw Cherry Street, Vancouver, WA 98663 2020-03-04
1598247207 Kristine Marie Mcginley Acupuncturist 100 East 33rd St., Ste 203a, Vancouver, WA 98663 2018-08-30
1932689460 Jennifer Fowler Behavioral Analyst 1901 Broadway St Apt 103, Vancouver, WA 98663 2018-08-15
1083109755 Kallie A Wikman Physical Therapist 100 E 33rd St Ste 204, Vancouver, WA 98663 2018-06-26
1407344872 Kyle Besaw Student in an Organized Health Care Education/Training Program 300 E 33rd St Ste 100, Vancouver, WA 98663 2018-05-01
1023521747 Focal Clinic Inc Counselor 3305 Main St Ste 205, Vancouver, WA 98663 2017-11-16
1215455365 Thirty Three Oaks, LLC Skilled Nursing Facility 400 E. 33rd St., Vancouver, WA 98663 2017-09-08
1174047690 Douglas Gangat Uy Counselor 1610 C Street, Suite 102, Vancouver, WA 98663 2017-07-26
1699206243 Maggie May Mcgraw Social Worker 410 E 20th Street, Vancouver, WA 98663 2017-03-24
1356740328 Joseph Kelly Dentist 1008 Nw 59th St., Vancouver, WA 98663 2014-08-15
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386039550 Sean Vikram Bhatia Internal Medicine Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 2015-04-03
1609215987 Sonam Ravindra Kiwalkar Internal Medicine 700 Ne 87th Ave Ste 330, Vancouver, WA 98664-4896 2013-06-19
1205279585 Marla Mcknight Internal Medicine St. Paul's Hospital, 1081 Burrard Street, Vancouver, BRITISH COLUMBIA V6Z1Y6 2013-04-16
1245577675 John Adam Staples Internal Medicine 1081 Burrard St, Room 5910b, Vancouver, BC V6Z1Y6 2013-01-04
1598051252 Joshua Grant Internal Medicine 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 2011-06-21
1235422023 Gurleen Dhami Internal Medicine 8821 Ne 5th St, Vancouver, WA 98664 2011-05-26
1487810073 Charul Sen Internal Medicine 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 2008-08-02
1730351529 Troy Harris Dillard Internal Medicine 2312 Ne 129th St Ste 120, Vancouver, WA 98686-3236 2008-04-01
1538381884 Vancouver Primary Care Ps Internal Medicine 11719 Ne 95th St, Suite F, Vancouver, WA 98682-2444 2007-05-03
1821115064 Elaheh N. Tehranchi Internal Medicine 2525 Ne 139th St Ste 230, Vancouver, WA 98686 2007-03-23
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Competitor

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City VANCOUVER
Zip Code 98663

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Dataset Information

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.

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