MR. SCOTT DAVID LONG (NPI# 1477659506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477659506 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DAVID LONG |
| Credential | PA-C |
| Practice Address |
1713 S Church St Burlington NC 27215-5630 |
| Mailing Address |
5225 Michaux Rd Greensboro NC 27410-9204 |
| Practice Telephone | 8883814858 |
| Mailing Telephone | 3362889420 |
| Mailing Fax Number | 3364452227 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103319 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619461662 | Scott Alexander Long | Social Worker | 816 W Route 130, Burlington, NJ 08016-1267 | 2018-06-21 |
| 1932579182 | Scott Long | Emergency Medical Technician, Basic | 10171 Obrien Pl, San Diego, CA 92124-2922 | 2015-09-30 |
| 1497138408 | Scott Long | Specialist/Technologist | 28400 Stallion Springs, Tehachapi, CA 93561 | 2015-07-08 |
| 1760637284 | Scott Wesley Long | Pathology | 6565 Fannin, M227, Houston, TX 77030 | 2008-11-25 |
| 1447739818 | Scott Brian Long | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2018-08-07 |
| 1033696034 | Scott Anthony Long | Social Worker | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2018-07-23 |
| 1801382015 | Scott Long | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2018-07-11 |
| 1720576903 | Scott Long | Social Worker | 3621 Rossgate Ct, Hamilton, OH 45013-9558 | 2018-04-24 |
| 1548797608 | Scott Alan Long | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215 | 2017-05-18 |
| 1043646409 | Scott T Long | Specialist/Technologist | 113 E College Blvd, Roswell, NM 88201-5158 | 2013-09-17 |
| Street Address |
1713 S CHURCH ST |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265883557 | Jessica Bauer | Nurse Practitioner | 1713 S Church St, Burlington, NC 27215-5630 | 2016-06-28 |
| 1831404227 | Tara Kathryn Kanady | Nurse Practitioner | 1713 S Church St, Burlington, NC 27215-5630 | 2010-08-10 |
| 1790719904 | Matrix Occupational Health Inc | Clinic/Center | 1713 S Church St, Burlington, NC 27215-5630 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399743 | Samantha Pandick Vaillancourt | Physician Assistant | 1236 Huffman Mill Rd Ste 100, Burlington, NC 27215-8700 | 2020-02-26 |
| 1770116576 | Mh Medical Services, PC | Physician Assistant | 1737 Whites Kennel Rd, Burlington, NC 27215-8977 | 2020-02-20 |
| 1578113908 | Avani Shah | Physician Assistant | 41 Burlington Mall Road 7 West Neurology Dept, Burlington, MA 01805-2015 | 2019-09-17 |
| 1174087548 | Lindsay Elaine Damaso | Physician Assistant | 6 Frothingham Rd, Burlington, MA 01803-4002 | 2019-01-30 |
| 1902375744 | San Michael Kyte | Physician Assistant | 104 Huffman Mill Rd Ste 100, Burlington, NC 27215-5113 | 2018-11-22 |
| 1871010074 | Adriana M Pollak | Physician Assistant | 1041 Kirkpatrick Rd Ste 200, Burlington, NC 27215-8066 | 2017-08-28 |
| 1679920581 | Jenna Bruno | Physician Assistant | 8 Pontos Ave, Burlington, MA 01803-2127 | 2016-05-20 |
| 1770963332 | Christopher Walden | Physician Assistant | 2016 Wall Ave, Burlington, NJ 08016-3616 | 2015-06-08 |
| 1447655568 | Bushra Khan | Physician Assistant | 1174 Kaye Ct, Burlington, NJ 08016-2266 | 2014-10-31 |
| 1831527191 | Autumn Kari Konz | Physician Assistant | 1234 Huffman Hill Road, Burlington, NC 27215-8700 | 2013-10-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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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.