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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
133257 | CA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
5137 GOLDEN FOOTHILL PKWY SUITE 120 |
City | EL DORADO HILLS |
State | CA |
Zip Code | 95762-9670 |
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 |
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 Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
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. |
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 |
City | EL DORADO HILLS |
Zip Code | 95762 |
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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.