SUSAN E. LONG (NPI# 1619998283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619998283 |
| Entity Type | Individual |
| Full Name | SUSAN E. LONG |
| Credential | MD |
| Practice Address |
1 Amalia Dr Buckhannon WV 26201-2239 |
| Practice Telephone | 3044732000 |
| Practice Fax Number | 3044732180 |
| Mailing Telephone | 3044732000 |
| Mailing Fax Number | 3044732180 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 18992 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0126735000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780962084 | Susan C Long | Nurse Practitioner | 820 Harrison Avenue, Dowling North, 5108, Boston, MA 02118-0000 | 2011-08-03 |
| 1356582639 | Susan Katharine Long | Social Worker | 3150 Cardinal Dr Ste 200, Vero Beach, FL 32963-1931 | 2009-03-16 |
| 1275704868 | Susan Michele Long | Speech-Language Pathologist | 3231 N Ellis St, Chandler, AZ 85224-1068 | 2008-03-21 |
| 1316143522 | Susan Louise Long | Home Health Aide | 275 Horton Sisters Rd, Oak Hill, OH 45656-9760 | 2007-06-25 |
| 1679777387 | Susan P Long | Speech-Language Pathologist | 22633 Imperial Rd, Maryville, MO 64468-7385 | 2007-06-14 |
| 1861608333 | Susan Joy Long | Marriage & Family Therapist | 309 Elm Ave, Tillamook, OR 97141-3437 | 2007-05-14 |
| 1326104787 | Susan Long | Technician/Technologist | 1300 W I-40 Frontage Rd Ste 322, Gallup, NM 87301-3323 | 2006-12-29 |
| 1831268689 | Susan Long | Dentist | 24331 Ford Rd, Dearborn, MI 48128-1129 | 2006-11-07 |
| 1831112887 | Susan E Long | Family Medicine | 212 Girard Ave, Glenside, PA 19038-1010 | 2006-07-25 |
| 1699260059 | Susan Long | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301 | 2018-06-28 |
| Street Address |
1 AMALIA DR |
| City | BUCKHANNON |
| State | WV |
| Zip Code | 26201-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619050 | James J Kim | Orthopaedic Surgery | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2005-06-16 |
| 1306484373 | Kelly Povroznik | Dietitian, Registered | 1 Amalia Dr, Buckhannon, WV 26201-2200 | 2019-12-20 |
| 1235697319 | Kay Carpenter | Nurse Practitioner | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2019-03-07 |
| 1720554835 | Tamera J Wright | Pharmacist | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2018-10-16 |
| 1811471055 | Lori Irons | Pharmacist | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2018-09-24 |
| 1497261556 | Miranda Alyssa Mccroskey | Nurse Practitioner | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2017-12-26 |
| 1558802322 | Danielle Seitz | Nurse Practitioner | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2017-03-14 |
| 1699223818 | Eric Rice | Nurse Practitioner | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2016-09-16 |
| 1174986467 | Brian Zachary Dilcher | Emergency Medicine | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2016-04-04 |
| 1063889012 | Michelle Dasher | Pharmacist | 1 Amalia Dr, Buckhannon, WV 26201 | 2015-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570334 | Susan Boyce | Homemaker | 62692 Tallmasville Road, Buckhannon, WV 26201 | 2020-05-27 |
| 1316590177 | Jk Marketing, LLC | Clinic/Center | 4 Hartman Plaza, Buckhannon, WV 26201 | 2019-07-22 |
| 1841759412 | Deborah Lynn Wilson | Massage Therapist | 47 East Main St., Suite 202, Buckhann, WV 26201 | 2019-03-13 |
| 1275041766 | Town of Anmoore Vol Fire Dept | Ambulance | 100 S Ash Street, Anmoore, WV 26201 | 2018-01-18 |
| 1265824411 | Erik Brown | Specialist/Technologist | 36 College Avenue, Buckhannon, WV 26201 | 2015-02-25 |
| 1053735118 | Jonas Layne Phares | Chiropractor | Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 | 2014-02-10 |
| 1750621132 | Drew Foster Mason | Specialist/Technologist | 54 College Avenue, Box 1746, Buckhannon, WV 26201 | 2013-02-22 |
| 1295070241 | Cynthia Jean Hurst | Physician Assistant | 50 Bu Drive, Buckhannon, WV 26201 | 2012-12-03 |
| 1679876197 | Holly Evans | Pharmacist | Route 20 South, Buckhannon, WV 26201 | 2010-12-07 |
| 1407069990 | Upshur-buckhannon Health Department | Public Health or Welfare | 15 North Locust Street, Buckhannon, WV 26201 | 2007-05-08 |
| Find all providers in zip 26201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239221 | Ross Martin Knowles | Surgery | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2015-06-30 |
| 1194747345 | James D. Lawrence | Surgery | 10 Amalia Dr, Suite B-1, Buckhannon, WV 26201-2271 | 2006-07-24 |
| 1073509287 | David C. Faber | Surgery | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417476920 | Raleigh General Hospital LLC | Surgery | 1717 Harper Rd Ste Ab, Beckley, WV 25801-3373 | 2017-09-15 |
| 1043690712 | Onyechi Megafu | Surgery | 2900 1st Ave Ste 210, Huntington, WV 25702-1241 | 2015-06-08 |
| 1548653892 | Parinya Taupradist | Surgery | 1909 Woodside Cir, Charleston, WV 25314-2255 | 2015-03-11 |
| 1730437716 | Akkary Center for Weight Management & Surgical Services | Surgery | 1100 Fort Pierpont Dr, Morgantown, WV 26508-1329 | 2012-08-21 |
| 1669735890 | Semeret Tadios Munie | Surgery | 1115 20th St Ste 101, Huntington, WV 25703-2071 | 2012-06-22 |
| 1780962704 | Pineview Surgery Pllc | Surgery | 1311 Pineview Dr Ste 200, Morgantown, WV 26505-3276 | 2011-07-25 |
| 1659685246 | Suratkal V Shenoy Md PC | Surgery | Rt 220 South and Staggs Lane, Keyser, WV 26726 | 2010-08-06 |
| 1467776013 | John Gabriel Maijub | Surgery | 609 22nd St Apt 1431, Huntington, WV 25703-1657 | 2010-03-24 |
| 1417196262 | Fernando Dominguez | Surgery | 507 Forest Road, Huntington, WV 25705 | 2009-02-18 |
| 1497907141 | Porfirio R. Pascasio | Surgery | 2880 North Pleasant Highway, St. Mary's Correctional Center, St. Mary, WV 26170 | 2008-10-14 |
| Find all providers with the same taxonomy | ||||
| City | BUCKHANNON |
| Zip Code | 26201 |
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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.