TIMOTHY LONG (NPI# 1457416489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457416489 |
| Entity Type | Individual |
| Full Name | TIMOTHY LONG |
| Credential | DC |
| Practice Address |
464 E Guadalupe La Grange TX 78945 |
| Practice Telephone | 9799660601 |
| Practice Fax Number | 9799660151 |
| Mailing Telephone | 9799660601 |
| Mailing Fax Number | 9799660151 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2862 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558743294 | Timothy J Long | Counselor | 3150 Noble Ct, Boulder, CO 80301-6211 | 2015-06-18 |
| 1972514826 | Timothy Long | Chiropractor | 2979 N Cannon Blvd, Kannapolis, NC 28083-9125 | 2006-08-10 |
| 1558384214 | Timothy P Long | Family Medicine | 200 N Highway 47, Marthasville, MO 63357 | 2006-07-25 |
| 1114979986 | Timothy Richard Long | Social Worker | 160 Draper Ave, C/o Child Inc., Warwick, RI 02889-5047 | 2006-05-17 |
| 1699743567 | Timothy R. Long | Family Medicine | 1320 Andrea St, Bowling Green, KY 42104-3334 | 2006-03-08 |
| 1992111975 | Timothy Parker Long II | Dentist | 6830 Phelan Blvd, Beaumont, TX 77706-5970 | 2014-07-10 |
| 1003045071 | Timothy R Long | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-07-10 |
| 1578693354 | Timothy John Long | Hospitalist | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2007-03-07 |
| 1528081239 | Timothy J Long | Internal Medicine | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2006-07-25 |
| 1457338477 | Timothy R Long | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| Street Address |
464 E GUADALUPE |
| City | LA GRANGE |
| State | TX |
| Zip Code | 78945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406739 | Lisa Faye Cummings | Pharmacist | 1915 W. St. Hwy 71 Business, La Grange, TX 78945 | 2020-10-30 |
| 1326515750 | Teresa Kay Carmack | Occupational Therapist | Care Inn of La Grange, 457 N. Main Street, La Grange, TX 78945 | 2018-10-24 |
| 1417496415 | Fresh Smiles Pllc | Dentist | 2001 W. St Hwy 71, Suite 20, La Grange, TX 78945 | 2017-02-23 |
| 1871031443 | Debra Kay Hall | Physical Therapist | 530 W. Lafayette St, Lagrange, TX 78945 | 2017-02-03 |
| 1467840348 | Veronica Olivares-garza | Occupational Therapist | 260 West Live Oak St, La Grange, TX 78945 | 2014-12-31 |
| 1265843874 | Kinuyo Henderson | Family Medicine | 1253 N. Von Minden, La Grange, TX 78945 | 2014-05-16 |
| 1861678880 | Fayette County | Health Maintenance Organization | 151 N Washington St Rm 301, La Grange, TX 78945 | 2008-01-22 |
| 1023215480 | Charlotte Blauert Reilly | Nurse Anesthetist, Certified Registered | 1 St. Marks Place, La Grange, TX 78945 | 2007-06-29 |
| 1770639379 | Sage Professional Consulting Corporation | Psychologist | Two Saint Mark's Pl Ste 147, La Grange, TX 78945 | 2007-01-26 |
| 1346340742 | Suzanne Carlton Hart | Psychologist | Two Saint Mark's Place, Suite 147, La Grange, TX 78945 | 2006-09-25 |
| Find all providers in zip 78945 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063943892 | Justin Boyce, P.C. | Chiropractor | 114 W Calendar Ave, Suite A, La Grange, IL 60525-2601 | 2017-03-23 |
| 1043756562 | Douglas Ryan Evenhouse | Chiropractor | 442 Sherwood Rd, La Grange, IL 60526-1968 | 2017-01-08 |
| 1528469905 | Julie Pleviak | Chiropractor | 411 S Madison Ave, La Grange, IL 60525-6305 | 2014-09-04 |
| 1811306285 | Devon Acou Dc, LLC | Chiropractor | 512 W Burlington Ave Ste 103, La Grange, IL 60525-2234 | 2014-08-10 |
| 1427307099 | Gordon Fimreite, Dc, S.c. | Chiropractor | 47 6th Ave Ste L, La Grange, IL 60525-5636 | 2012-08-29 |
| 1447529821 | Doyle Chiropractic LLC | Chiropractor | 1495 W State Highway 71, Ste D, La Grange, TX 78945-5137 | 2011-12-14 |
| 1730413253 | Dimensional Family Wellness, Inc | Chiropractor | 47 S. 6th Ave, Suite L, La Grange, IL 60525 | 2009-09-30 |
| 1437278561 | Frank M. Painter | Chiropractor | 11 S La Grange Rd, Ste. 204, La Grange, IL 60525-2460 | 2007-03-28 |
| 1467505446 | Rebecca Jean Shelburne | Chiropractor | 4201 W Highway 146, La Grange, KY 40031-9758 | 2007-01-21 |
| 1336213412 | Ken R Krebs Dn Dc Ltd | Chiropractor | 140 North La Grange Road, La Grange, IL 60525 | 2006-11-20 |
| Find all providers in LA GRANGE | ||||
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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.