DANIEL LONG (NPI# 1386099224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386099224 |
| Entity Type | Individual |
| Full Name | DANIEL LONG |
| Practice Address |
10101 Park Rowe Ave Ste. 200 Baton Rouge LA 70810-1686 |
| Mailing Address |
Po Box 98509 Baton Rouge LA 70884-9509 |
| Practice Telephone | 2257692200 |
| Practice Fax Number | 2257682185 |
| Mailing Telephone | 2257692200 |
| Mailing Fax Number | 2257682185 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE LICENSE | PA.303108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1184048209 | Daniel Long | Specialist | 233 Moorland Way, Lawrenceville, GA 30043 | 2014-02-10 |
| 1710255666 | Daniel Gregory Long II | Psychologist | 1553 Stewartstown Road, Morgantown, WV 26505-2947 | 2011-12-07 |
| 1306886924 | Daniel Eugene Long | Dentist | 10920 S River Front Pkwy, Roseman University College of Dental Medicine, South Jordan, UT 84095-3538 | 2006-06-08 |
| 1023013943 | Daniel Stephen Long | Anesthesiology | 13601 Preston Rd, Ste 1000w, Dallas, TX 75240-4911 | 2005-06-16 |
| 1548870504 | Daniel W Long | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-08-05 |
| 1215474861 | Daniel Long | Behavior Technician | 7226 Sepulveda Blvd, Van Nuys, CA 91405-2003 | 2017-01-20 |
| 1700320900 | Daniel Long Jr. | Chiropractor | 619 Sw 152nd St, Burien, WA 98166-2212 | 2016-12-07 |
| 1013300409 | Daniel Long | Physical Therapist | 2619 Sw 147th Ave, Miami, FL 33185-5622 | 2015-03-10 |
| Street Address |
10101 PARK ROWE AVE STE. 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013902766 | Thomas B Flynn | Neurological Surgery | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2005-09-19 |
| 1316560436 | Omega Neuromonitoring | Clinic/Center | 10101 Park Rowe Ave, Baton Rouge, LA 70810-1686 | 2020-05-22 |
| 1295288942 | Alexandra K. Rau | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810 | 2016-07-29 |
| 1992150817 | Amanda L Bucher | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-04-28 |
| 1871950659 | Laura D. Ostermiller | Nurse Practitioner | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-01-25 |
| 1366818478 | Tiffany Vincent | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2015-08-12 |
| 1528462215 | Amanda Hedges | Physical Therapist | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2014-10-09 |
| 1568864015 | Emily Lanier | Physician Assistant | 10101 Park Rowe Ave, Ste, 200, Baton Rouge, LA 70810 | 2014-09-16 |
| 1215354642 | Brooke Cole | Psychologist | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2014-03-24 |
| 1295150779 | Alyssa Chauvin | Physical Therapist | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2014-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841855 | Kasie Danielle Nelson | Physician Assistant | 8585 Picardy Ave Ste 514, Baton Rouge, LA 70809-3748 | 2019-09-23 |
| 1013575018 | Louisiana Surgical Assist, L.L.C. | Physician Assistant | 1374 Knollwood Dr, Baton Rouge, LA 70808-8647 | 2019-06-04 |
| 1144793175 | Picardy Surgical Assist II, L.L.C. | Physician Assistant | 7425 Bocage Blvd, Baton Rouge, LA 70809-1141 | 2019-01-02 |
| 1578033825 | Picardy Surgical Assist, L.L.C. | Physician Assistant | 7301 Hennessy Blvd Ste 300, Baton Rouge, LA 70808-4794 | 2018-11-29 |
| 1578837266 | Gretchen Donnes | Physician Assistant | 7414 Picardy Ave Ste C, Baton Rouge, LA 70808-4697 | 2012-02-28 |
| 1477792844 | Edmonds Medical, LLC | Physician Assistant | 3111 Longleaf Ct, Baton Rouge, LA 70810-0308 | 2009-02-09 |
| 1831207398 | Kristie L Firmin | Physician Assistant | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2006-08-26 |
| 1992770333 | John Kyle Roppolo | Physician Assistant | 7777 Hennessy Blvd., Suite 208, Baton Rouge, LA 70808-4300 | 2006-02-21 |
| 1417564337 | Camille Elizabeth Comeaux | Physician Assistant | 8585 Picardy Ave Ste 514, Baton Rouge, LA 70809-3748 | 2020-09-24 |
| 1740821875 | Eleanor Catherine Brandon | Physician Assistant | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2019-09-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.