TERRI LONG (NPI# 1619073830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619073830 |
| Entity Type | Individual |
| Full Name | TERRI LONG |
| Credential | PA |
| Practice Address |
8934 Kingsridge Dr Ste 102 Dayton OH 45458-1633 |
| Mailing Address |
3298 Montpelier Dr Kettering OH 45440-1560 |
| Practice Telephone | 9374396242 |
| Practice Fax Number | 9374396245 |
| Mailing Telephone | 9373691020 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.002163 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387528 | Terri Long | Counselor | 1208 E Churchville Rd Ste 300, Bel Air, MD 21014-3485 | 2019-10-09 |
| 1558826172 | Terri Leigh Long | Registered Nurse | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2019-02-07 |
| 1740504000 | Terri Long | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2010-03-16 |
| Street Address |
8934 KINGSRIDGE DR STE 102 |
| City | DAYTON |
| State | OH |
| Zip Code | 45458-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822499 | Ayana Ashay Kleckner | Nurse Practitioner | 8934 Kingsridge Dr Ste 102, Dayton, OH 45458-1633 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841744331 | Jessica Leigh Cochran | Physician Assistant | 188 16th Ave Ste 107, Dayton, TN 37321-1037 | 2016-08-12 |
| 1790126282 | Christopher Lynn Atkins | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-07-11 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1619258068 | Mackenzie E. T. Graham | Physician Assistant | One Wyoming Street, Dayton, OH 45409 | 2011-08-30 |
| 1992092886 | Devi S Kadakia | Physician Assistant | 30 E Apple St Ste 5253, Dayton, OH 45409 | 2011-06-29 |
| 1932416161 | Heather Nicole Short | Physician Assistant | 9000 N Main St, Suite 333, Dayton, OH 45415-1180 | 2010-09-09 |
| 1265611818 | Amanda E Bryan | Physician Assistant | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2007-10-31 |
| 1356485700 | Cheryl Chasteen-seibert | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2007-02-19 |
| 1194865345 | Troy Miller | Physician Assistant | 30 E Apple St, Ste 1480, Dayton, OH 45409-2939 | 2007-02-07 |
| 1780770057 | Kerry Kunrong Nie | Physician Assistant | 30 E Apple St, Ste 1480, Dayton, OH 45409-2939 | 2006-10-05 |
| Find all providers in DAYTON | ||||
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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.