MR. MIKE DENNIS LONG (NPI# 1558326652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558326652 |
| Entity Type | Individual |
| Full Name | MR. MIKE DENNIS LONG |
| Credential | M.ED., ATC, CSCS |
| Practice Address |
500 Clinic Dr Trover Foundation Sports Medicine Hopkinsville KY 42240-4991 |
| Practice Telephone | 2707073387 |
| Practice Fax Number | 2707073361 |
| Mailing Telephone | 2707073387 |
| Mailing Fax Number | 2707073361 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT357 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093897399 | Mike Thomas Long | Pharmacist | 126 N Center St, Hickory, NC 28601-6215 | 2006-10-19 |
| Street Address |
500 CLINIC DR TROVER FOUNDATION SPORTS MEDICINE |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-4991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391850 | Brittany Madison Helton | Speech-Language Pathologist | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2019-08-12 |
| 1417515149 | Danyelle C Hall-harlan | Physical Therapist | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2019-05-29 |
| 1174091763 | Baptist Health Medical Group Inc | Clinic/Center | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2018-11-13 |
| 1912418575 | Haley Austin Midkiff Blue | Specialist/Technologist | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2017-10-22 |
| 1548782568 | Leo James Moody | Family Medicine | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2017-07-11 |
| 1932509270 | Sandra Brown | Nurse Practitioner | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2014-08-22 |
| 1538420666 | David C Jamora | Family Medicine | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2012-06-05 |
| 1942560958 | Allison Bray Johnson | Physical Therapist | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2012-05-23 |
| 1003189267 | Abby Jo Lara | Nurse Practitioner | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2012-02-20 |
| 1407149560 | Billy Kevin Fralish | Family Medicine | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051304 | Makiko Yamamoto | Specialist/Technologist | 1811 E 9th St, Hopkinsville, KY 42240-4433 | 2015-04-20 |
| 1912418575 | Haley Austin Midkiff Blue | Specialist/Technologist | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2017-10-22 |
| 1720167984 | Paul R Musgrove | Specialist/Technologist | 1717 High St Ste 3b, Hopkinsville, KY 42240-6300 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655372 | Kaitlin Niemiec | Specialist/Technologist | 1150 Danville Rd, Harrodsburg, KY 40330-9625 | 2020-10-05 |
| 1215543814 | Taylor Hall | Specialist/Technologist | 2424 Zion Rd, Henderson, KY 42420-4713 | 2020-09-18 |
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1982214433 | Brookelynn Thomason | Specialist/Technologist | 497 Angliana Ave, Lexington, KY 40508-3541 | 2020-08-08 |
| 1700496395 | Angela Huston | Specialist/Technologist | 17 Wesley Dr, Wilder, KY 41076-1472 | 2020-08-07 |
| 1942810494 | Emalee Alyce Johnson | Specialist/Technologist | 4485 N Us Highway 25, East Bernstadt, KY 40729-6538 | 2020-08-07 |
| 1093325193 | Phillip Gribble | Specialist/Technologist | 210 Charles Wethington Building 900 South Limestone, Lexington, KY 40536-0200 | 2020-08-04 |
| 1083231310 | Lindsay Perry | Specialist/Technologist | 129 Wellesly Ave, Georgetown, KY 40324-8091 | 2020-07-02 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.