DOMINIQUE NOE LONG (NPI# 1508913989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508913989 |
| Entity Type | Individual |
| Full Name | DOMINIQUE NOE LONG |
| Other Name | DOMINIQUE S NOE |
| Credential | M.D. |
| Practice Address |
600 N Wolfe St Park 211 Baltimore MD 21287-0005 |
| Mailing Address |
Po Box 64316 Baltimore MD 21264-4316 |
| Practice Telephone | 4109556463 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
D59951 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
600 N WOLFE ST PARK 211 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354821 | Earl Randy Craven | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-05-31 |
| 1487255279 | Elizabeth Dejaeghere | Physician Assistant | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-06 |
| 1386245751 | Johns Hopkins University | Psychiatry & Neurology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-03 |
| 1770182560 | Abdulrahman Mohammed Gomaa Abodarahim | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-22 |
| 1760081079 | Jose Daniel Llaque Salazar | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-19 |
| 1891302402 | Everardo Hernandez Quintela | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-09-28 |
| 1891307997 | Abby Holland Keen | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-19 |
| 1184235004 | Molly Ruhl | Physician Assistant | 600 N Wolfe St, Halsted 600, Baltimore, MD 21287-2128 | 2020-08-13 |
| 1083224596 | Johns Hopkins University | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-10 | |
| 1265041032 | Carlos Fairen Oro | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
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| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922268515 | Sandra Loeb Salsberg | Pediatrics | 200 North Wolfe Street, Rubenstein Bldg #3120, Baltimore, MD 21287-0011 | 2008-06-17 |
| 1306982954 | Scott M Blackman | Pediatrics | 200 N Wolfe St Fl 3, Pediatric Endocrinology, Johns Hopkins Hospital, Baltimore, MD 21287-0001 | 2007-01-30 |
| 1609816065 | Debra R Counts | Pediatrics | Sinai Hospital of Baltimore, 2411 W. Belvedere Ave, Suite 205, Baltimore, MD 21215 | 2006-06-07 |
| 1518100239 | Katherine A Beckwith | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2009-04-10 |
| 1407015407 | Paula Genese Newton | Pediatrics | 827 Linden Ave, Baltimore, MD 21201-4606 | 2008-06-04 |
| 1932262037 | Ryan Miller | Pediatrics | 827 Linden Ave, Second Floor, Baltimore, MD 21201-4606 | 2006-12-19 |
| 1124101639 | Sally Radovick | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-10-21 |
| 1386738938 | Barry J Reiner | Pediatrics | 1001 Pine Heights Ave, Suite 202, Baltimore, MD 21229-5208 | 2006-10-03 |
| 1710087481 | Sinai Hospital of Baltimore Inc | Pediatrics | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2006-09-23 |
| 1083653612 | David William Cooke | Pediatrics | 601 N Caroline St, Baltimore, MD 21287-0006 | 2006-06-06 |
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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.