WILLIAM BROUGHTON LONG III (NPI# 1598735490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598735490 |
| Entity Type | Individual |
| Full Name | WILLIAM BROUGHTON LONG III |
| Credential | MD |
| Practice Address |
501 N Graham Suite # 580 Portland OR 97227 |
| Practice Telephone | 5035280704 |
| Practice Fax Number | 5035280708 |
| Mailing Telephone | 5035280704 |
| Mailing Fax Number | 5035280708 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD00023470 | WA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD13786 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 290536 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901565 | William M Long | Physical Therapist | 14000 Nicollet Ave Ste 200, Burnsville, MN 55337-5796 | 2017-09-12 |
| 1265777221 | William J Long | Pharmacist | 1203 Mechem Dr, Ruidoso, NM 88345-7210 | 2012-12-03 |
| 1952656316 | William Eugene Long | Radiology | 155 Trezevant View Pl, Memphis, TN 38111-4759 | 2012-07-20 |
| 1265721922 | William Wesley Long | Registered Nurse | 10 Lewis Ave, Apartment 12 I, Brooklyn, NY 11206-5933 | 2011-04-04 |
| 1447486980 | William S Long | Podiatrist | 801 Se Main Street, Simpsonville, SC 29681-3226 | 2009-06-10 |
| 1154413094 | William Gould Long | Dentist | 1810 Central Ave, Augusta, GA 30904-5735 | 2006-09-28 |
| 1174622997 | William Frederick Long | Optometrist | 11 Charlestowne Plaza, St Charles, MO 63303 | 2006-09-21 |
| 1598775868 | William Randall Long | Dentist | 9602 E Washington St, Suite C, Indianapolis, IN 46229-4504 | 2006-08-09 |
| 1659327344 | William Sherman Long Jr. | Nurse Anesthetist, Certified Registered | 7900 Rhea Medical Center, Rhea County Hwy, Dayton, TN 37321 | 2006-05-25 |
| 1497708168 | William Trigg Long | Dermatology | 71 Park Avenue, 1a, New York, NY 10016 | 2006-05-17 |
| Street Address |
501 N GRAHAM SUITE # 580 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972750669 | J Rafe Sales, Md PC | Specialist | 501 N Graham, Suite 250, Portland, OR 97227 | 2008-08-25 |
| 1639261142 | Everywomans Health PC | Obstetrics & Gynecology | 501 N Graham, #445, Portland, OR 97227-2002 | 2006-09-29 |
| 1003926189 | Peter H Chang | Pediatrics | 501 N Graham, Suite 220, Portland, OR 97227-2014 | 2006-08-30 |
| 1174583264 | Amy Smith | Physician Assistant | 501 N Graham, Ste 580, Portland, OR 97227-2003 | 2006-03-24 |
| 1962461442 | Scott P Sherry | Physician Assistant | 501 N Graham, Ste 580, Portland, OR 97227-2003 | 2006-03-22 |
| 1134197213 | Duane A Burroughs | Internal Medicine | 501 N Graham, #100, Portland, OR 97227 | 2006-03-14 |
| 1588635437 | Ameen Ishak Ramzy | Surgery | 501 N Graham, Suite 580, Portland, OR 97227 | 2006-01-30 |
| 1659342509 | Kelly Dean Gubler | Surgery | 501 N Graham, Suite #580, Portland, OR 97227 | 2006-01-30 |
| 1326018953 | Andrew Jacob Michaels | Surgery | 501 N Graham, Suite 580, Portland, OR 97227 | 2006-01-25 |
| 1558331363 | Seth David Izenberg | Surgery | 501 N Graham, Suite #580, Portland, OR 97227 | 2006-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497776488 | Ts Billings, LLC | Surgery | 501 N Graham St Ste 130, Portland, OR 97227-1675 | 2006-07-22 |
| 1073564423 | Karen J Brasel | Surgery | 3181 Sw Sam Jackson Park Rd # L223, Portland, OR 97239-3011 | 2006-05-12 |
| 1134324551 | Laszlo Nicholas Kiraly | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2007-06-16 |
| 1285738310 | Maine Medical Partners | Surgery | 887 Congress St, Suite 210, Portland, ME 04102-3100 | 2006-09-11 |
| 1649389677 | Bruce Chung | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2006-08-30 |
| 1609882299 | Richard James Mullins | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1285615781 | Susan Rowell | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134342538 | Snell Fontus, Md, LLC | Surgery | 1053 High St, Eugene, OR 97401-3205 | 2007-04-11 |
| 1922323831 | Alexis Marika Moren | Surgery | 890 Oak St Se, Salem, OR 97301-3905 | 2010-04-02 |
| 1194828533 | West Livaudais Jr. | Surgery | Salem Hospital, 665 Winter Street Se, Salem, OR 97309-5014 | 2006-09-07 |
| 1467485516 | Nicole Maria Vanderheyden | Surgery | 665 Winter St Se, Salem, OR 97301-3919 | 2006-07-09 |
Please comment or provide details below to improve the information on WILLIAM BROUGHTON LONG III.
| 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.