CELESTE S LONG (NPI# 1538185889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538185889 |
| Entity Type | Individual |
| Full Name | CELESTE S LONG |
| Credential | M.D. |
| Practice Address |
1300 Wesley Dr Memphis TN 38116 |
| Mailing Address |
Po Box 1000 Dept 351 Memphis TN 38148-0001 |
| Practice Telephone | 9013952618 |
| Practice Fax Number | 9013853261 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD21442 | TN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 21442 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS OF TN | 4045056 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902141567 | Celeste Alecia Long | Counselor | 5461 E Mayflower Ln Ste 1, Wasilla, AK 99654-7892 | 2012-12-06 |
| Street Address |
1300 WESLEY DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306894860 | Corbi D Milligan | Internal Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2006-05-05 |
| 1669009007 | Emily Kyle Logan | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6499 | 2020-03-25 |
| 1326687328 | Joseph Nixon | Physician Assistant | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-12-23 |
| 1245884634 | Holly Elizabeth Loveland | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-07-24 |
| 1073173324 | Amanda Hart | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-06-18 |
| 1306316997 | Rateesha Q Mcleod | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-11-27 |
| 1952876427 | Srilatha Raghur | Emergency Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-10-10 |
| 1629562194 | Ebony Lashawn Williams | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-06-19 |
| 1558870014 | Molly West Mungle | Registered Nurse | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2017-09-27 |
| 1407382492 | Eguosa LLC | Internal Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1356797898 | Shwetapadma Sahu | Internal Medicine | 109 N Main St Apt 811, Memphis, TN 38103-5019 | 2016-05-13 |
| 1780030619 | Lamia Aljundi | Internal Medicine | 956 Court Avenue Suite H316b, Memphis, TN 38163-2148 | 2016-05-10 |
| 1437513439 | Highland Medical Corp | Internal Medicine | 3445 Poplar Ave Ste 13, Memphis, TN 38111-4667 | 2016-04-06 |
| 1760845994 | Anthony Selase Sallar | Internal Medicine | 920 Madison Ave Ste 300a, Memphis, TN 38103-3472 | 2016-04-04 |
| 1306218235 | Amp Medical Management, LLC | Internal Medicine | 1102 Brookfield Rd, Ste 102, Memphis, TN 38119-3826 | 2015-10-30 |
| 1245636596 | Jiten P Kothadia | Internal Medicine | 1265 Union Avenue 4 Shorb Tower, Memphis, TN 38104-4418 | 2014-11-14 |
| 1841614252 | Saurav Acharya | Internal Medicine | 956 Court Avenue G326 Coleman Building, Memphis, TN 38163-2857 | 2014-02-06 |
| 1396182705 | John W Fowler Jr. Md Pllc | Internal Medicine | 184 Colonial Rd, Memphis, TN 38117-3206 | 2013-05-24 |
| 1497198865 | Jeremy Scott Avila | Internal Medicine | 6799 Great Oaks Rd Ste 105, Memphis, TN 38138-2572 | 2013-04-16 |
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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.