DR. THOMAS EUGENE LONG (NPI# 1558663781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558663781 |
| Entity Type | Individual |
| Full Name | DR. THOMAS EUGENE LONG |
| Credential | M.D. |
| Practice Address |
1841 Nugget Dr Lake Havasu City AZ 86404-1813 |
| Mailing Address |
Po Box 5505 Lake Havasu City AZ 86404-0201 |
| Practice Telephone | 9284538880 |
| Practice Fax Number | 9284538880 |
| Mailing Telephone | 9284538880 |
| Mailing Fax Number | 9284538880 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34402 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205125325 | Thomas Jerry Long | Pharmacist | 300 S Slappey Blvd, Albany, GA 31701-2606 | 2011-03-29 |
| 1992968838 | Thomas C Long | Counselor | 827 Harrell St, Alma, AR 72921 | 2008-07-09 |
| 1235348434 | Thomas Mcmillen Long | Counselor | 4155 E Jewell Ave Ste 1117, Denver, CO 80222-4516 | 2007-05-22 |
| 1710191572 | Thomas Charles Long | Family Medicine | 51 W Mundhank Rd, South Barrington, IL 60010-9317 | 2007-05-10 |
| 1841201555 | Thomas Eugene Long | Dentist | 77 Timberlane Dr, Chillicothe, OH 45601-1939 | 2006-08-10 |
| 1912924432 | Thomas V Long | Internal Medicine | 1680 S Garfield Ave Ste 204, Alhambra, CA 91801-5413 | 2006-07-17 |
| 1053304840 | Thomas J Long | Physical Therapist | 3201 W Peoria Ave, Suite D800, Phoenix, AZ 85029-4608 | 2005-08-26 |
| 1851395727 | Thomas Edward Long | Dentist | 2310 Myron Dr, Raleigh, NC 27607-3358 | 2005-06-09 |
| 1679058853 | Thomas Long | Dentist | 4950 Cameron Rd, Hope Mills, NC 28348-2456 | 2018-10-03 |
| 1386017986 | Thomas Long | Occupational Therapist | 5908 Cobblestone Creek Cir, Mableton, GA 30126-2654 | 2015-11-04 |
| Street Address |
1841 NUGGET DR |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86404-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1396079323 | Desert Hills Fire District | Personal Emergency Response Attendant | 3983 London Bridge Rd, Lake Havasu City, AZ 86404 | 2009-09-23 |
| 1548446990 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5651 Hwy 95 North, Lake Havasu, AZ 86404 | 2008-01-16 |
| 1386701431 | Colleen Lynn Mcshea | Speech-Language Pathologist | 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 | 2007-01-01 |
| 1053978593 | Andrew David Skorheim | Pharmacist | Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 | 2019-05-21 |
| 1629507272 | Stephanie Rose Centera | Specialist/Technologist | 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404 | 2017-06-07 |
| 1104267491 | Nicole B. Buth | Speech-Language Pathologist | 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 | 2013-07-15 |
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| Find all providers in zip 86404 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922267905 | Edward E Rotan Md Inc | Family Medicine | 2180 Mcculloch, Suite 102, Lake Havasu City, AZ 86403-9998 | 2008-06-05 |
| 1881816718 | Thomas J Powers | Family Medicine | 1810 Mesquite Avenue, Suite A, Lake Havasu City, AZ 86403-5886 | 2007-05-02 |
| 1063553543 | Manu Lonial | Family Medicine | 1741 Mesquite Ave # 100, Lake Havasu City, AZ 86403-5695 | 2007-02-09 |
| 1932194859 | Francis Jonathan Woo | Family Medicine | 60 Riviera Dr, Lake Havasu City, AZ 86403-5716 | 2005-09-16 |
| 1164422127 | Edmund M Mitchell I | Family Medicine | 2035 Mesquite Avenue, Lake Havasu City, AZ 86403-5894 | 2005-07-29 |
| 1760093595 | Jcmd, PC | Family Medicine | 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403-5602 | 2020-08-14 |
| 1609359983 | Institute for Male Health&performance LLC | Family Medicine | 1830 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5885 | 2018-09-12 |
| 1508169616 | Havasu Primary Care, Ltd. | Family Medicine | 1830 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5885 | 2010-12-10 |
| 1114239019 | Oasis Medical Group, LLC | Family Medicine | 2035 Mesquite Ave, Suite C, Lake Havasu City, AZ 86403-5894 | 2010-07-08 |
| 1891007787 | Thomas C Ly | Family Medicine | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2010-07-08 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86404 |
Please comment or provide details below to improve the information on DR. THOMAS EUGENE 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.