DANIEL LONG (NPI# 1548680812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548680812 |
| Entity Type | Individual |
| Full Name | DANIEL LONG |
| Practice Address |
1373 E State Road 62 Madison IN 47250-7328 |
| Mailing Address |
34 Agin Way Milton KY 40045-1509 |
| Practice Telephone | 3177837474 |
| Practice Fax Number | 3177832283 |
| Mailing Telephone | 8599792459 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71004907A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004907A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1386099224 | Daniel Long | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-04-28 |
| Street Address |
1373 E STATE ROAD 62 |
| City | MADISON |
| State | IN |
| Zip Code | 47250-7328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341281 | George L. Alcorn | Internal Medicine | 1373 E State Road 62, Madison, IN 47250 | 2005-10-24 |
| 1538628714 | Lisa Christine Blevens | Nurse Practitioner | 1373 E State Road 62, Madison, IN 47250-7328 | 2019-03-18 |
| 1194256933 | Corey Michael Foster | Internal Medicine | 1373 E State Road 62, Madison, IN 47250-7328 | 2017-03-23 |
| 1437508033 | Kimberly Elisa Hall | Registered Nurse | 1373 E State Road 62, Madison, IN 47250-7328 | 2016-06-06 |
| 1649608795 | Jefferson Lake Emergency Physicians LLC | Physician Assistant | 1373 E State Road 62, Madison, IN 47250-7328 | 2013-10-29 |
| 1942549464 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 1373 E State Road 62, Madison, IN 47250-7328 | 2013-02-04 |
| 1497024426 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Clinical Medical Laboratory | 1373 E State Road 62, Madison, IN 47250-7328 | 2011-12-20 |
| 1598094252 | Charity Hope Welch | Nurse Practitioner | 1373 E State Road 62, Madison, IN 47250-7328 | 2009-12-09 |
| 1891855045 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Ambulance | 1373 E State Road 62, Madison, IN 47250-7328 | 2006-12-11 |
| 1235164625 | Michael J Schmidt | Radiology | 1373 E State Road 62, Madison, IN 47250 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on DANIEL LONG.
| 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.