DR. KATIE JANE LONG


Address: 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670
Phone: 9169338010

DR. KATIE JANE LONG (NPI# 1568801298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568801298
Entity Type Individual
Full Name DR. KATIE JANE LONG
Other Name DR. KATIE JANE MITCHELL
Credential MD
Practice Address 5137 Golden Foothill Pkwy
Suite 120
El Dorado Hills
CA 95762-9670
Mailing Address Po Box 45680
San Francisco
CA 94145-0680
Practice Telephone 9169338010
Mailing Telephone 9169338010
Enumeration Date 2013-06-15
Last Update Date 2016-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
133257 CA Allopathic & Osteopathic Physicians

Other Providers KATIE LONG

NPI Name Taxonomy Address Enumeration
1700494440 Katie Guerry Long Counselor 402 Harris Ave, Raeford, NC 28376-3112 2020-07-20
1326665506 Katie Jo Long Respiratory Therapist, Registered 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-07-02
1124592845 Katie Courtney Long Counselor 1305 Tacoma Ave S, Tacoma, WA 98402-1903 2019-01-15
1982009288 Katie Marie Long Nurse Practitioner 915 Olentangy River Rd Ste 2000, Columbus, OH 43212-3159 2014-10-29
1972788958 Katie Anne Long Genetic Counselor, MS 4401 Penn Ave, Faculty Pavilion Suite 1200, Pittsburgh, PA 15224-1334 2008-01-08

Office Location

Street Address 5137 GOLDEN FOOTHILL PKWY
SUITE 120
City EL DORADO HILLS
State CA
Zip Code 95762-9670

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104814037 Lance D. Holtry Family Medicine 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 2005-10-13
1912324468 Melanie Ariana Rincon Physician Assistant 5137 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9670 2014-03-22
1124349402 Brandon S Beamer Orthopaedic Surgery 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 2010-06-21
1366577512 Jessica Odom Santos Nurse Practitioner 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 2007-02-21
1972657559 Marshall Medical Center Internal Medicine 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 2007-01-22
1710918768 Alice W Tse Family Medicine 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 2006-07-06
1912998345 Nicole M Shorrock Pediatrics 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 2005-11-03
1922098672 Katharina Truelove Family Medicine 5137 Golden Foothill Pkwy, Ste 120, El Dorado Hills, CA 95762 2005-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720611163 Melanie Kim Dental Corporation Dentist 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 2020-02-13
1063042083 Safeway Inc Durable Medical Equipment & Medical Supplies 3383 Bass Lake Rd, El Dorado Hills, CA 95762 2020-01-17
1427557230 California Joint & Spine, LLC Clinic/Center 8135 Saratoga Way, El Dorado Hills, CA 95762 2018-02-07
1871008433 Claire Maurenn Goss Psychologist 5406 Da Vinci Drive, El Dorado Hills, CA 95762 2017-12-05
1275063000 Melinda Diane Keeler Marriage & Family Therapist 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 2017-06-14
1205379021 Lauren Marie Shanks Rigsbee Physical Therapist 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 2016-11-28
1962825935 Wendy Pickren Psychologist 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 2014-01-28
1588087597 Edwards Everhart Dental Dentist 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 2014-01-27
1447694542 Ksenia Voronina Psychiatry & Neurology 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 2013-04-19
1205188471 Pirasteh Guity Shafe Pediatrics 5001 Gresham Dr, El Dorado Hills, CA 95762 2012-10-11
Find all providers in zip 95762

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154986107 School Health Clinics of Santa Clara County Pediatrics 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 2019-05-06
1669927125 Irvine Doctors of Kids and Teens Pediatrics 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 2016-08-24
1043673270 Alexander S Golec Pediatrics 3333 California St Ste 245, San Francisco, CA 94118-6210 2016-04-04
1710360094 Jennifer Johnson, M.d., A Professional Corporation Pediatrics 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 2015-07-03
1902290448 Brittany Kathleen Badal Pediatrics 2330 Post St Ste 219, San Francisco, CA 94115-3465 2015-03-23
1750770608 Ighia Aintablian Md A Professional Corporation Pediatrics 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 2015-01-15
1184035032 Carlos Beharie M.d. Medical Group, Inc. Pediatrics 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 2014-05-14
1164859385 Pediatric Adolescent Clinic Pediatrics 1214 Adriana Way, Upland, CA 91784-1742 2013-10-02
1578804084 Eleanor S. Blatt Pediatrics 212 20th St, Huntington Beach, CA 92648-3914 2013-03-07
1053676619 Gladys Hope Dadivas Yerro Pediatrics 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 2012-07-10
Find all providers with the same taxonomy

Competitor

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City EL DORADO HILLS
Zip Code 95762

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Dataset Information

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.

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