DR. SCOTT D. LONG (NPI# 1679686679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679686679 |
| Entity Type | Individual |
| Full Name | DR. SCOTT D. LONG |
| Credential | M.D. |
| Practice Address |
800 E Carpenter St Department of Radiology Springfield IL 62702-5324 |
| Mailing Address |
319 E Madison St Springfield IL 62701-1035 |
| Practice Telephone | 2175446464 |
| Practice Fax Number | 2175255671 |
| Mailing Telephone | 2175442149 |
| Mailing Fax Number | 2175446061 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
036091122 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36091122 | 05 | |
| IL | RR MEDICARE | 300076361 | 01 |
| IL | RR MEDICARE | 300076348 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619461662 | Scott Alexander Long | Social Worker | 816 W Route 130, Burlington, NJ 08016-1267 | 2018-06-21 |
| 1932579182 | Scott Long | Emergency Medical Technician, Basic | 10171 Obrien Pl, San Diego, CA 92124-2922 | 2015-09-30 |
| 1497138408 | Scott Long | Specialist/Technologist | 28400 Stallion Springs, Tehachapi, CA 93561 | 2015-07-08 |
| 1760637284 | Scott Wesley Long | Pathology | 6565 Fannin, M227, Houston, TX 77030 | 2008-11-25 |
| 1477659506 | Scott David Long | Physician Assistant | 1713 S Church St, Burlington, NC 27215-5630 | 2006-09-16 |
| 1447739818 | Scott Brian Long | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2018-08-07 |
| 1033696034 | Scott Anthony Long | Social Worker | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2018-07-23 |
| 1801382015 | Scott Long | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2018-07-11 |
| 1720576903 | Scott Long | Social Worker | 3621 Rossgate Ct, Hamilton, OH 45013-9558 | 2018-04-24 |
| 1548797608 | Scott Alan Long | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215 | 2017-05-18 |
| Street Address |
800 E CARPENTER ST DEPARTMENT OF RADIOLOGY |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683656 | Mounir F Banoub | Anesthesiology | 800 E Carpenter St, Springfield, IL 62702-5324 | 2005-07-21 |
| 1649897315 | Karen M Stuckey | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-29 |
| 1679190581 | Natalie Kay Strope | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-26 |
| 1114542404 | Michael J Hohm | Physician Assistant | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-11 |
| 1528681145 | Steven David Sumpter | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-05-19 |
| 1679193387 | Jennifer Aumann | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1396365102 | Lauren Aileen Gregory | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1801420559 | Jia Dong | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-0002 | 2020-03-02 |
| 1790322469 | Sarah Hoppe | Occupational Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-12-02 |
| 1902442411 | Abigail Clark | Speech-Language Pathologist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922369024 | Oren W. Johnson | Radiology | 759 Chestnut St, Springfield, MA 01107-1619 | 2012-06-05 |
| 1215986948 | Joseph Douglas Horner | Radiology | 3801 S National Ave, Springfield, MO 65807-5210 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063774735 | Sherazad Islam | Radiology | 2159 Coral Ln, Glenview, IL 60026-7001 | 2012-06-08 |
| 1124284401 | Jonathan Samet | Radiology | 225 E Chicago Ave, Dept. of Medical Imaging, Chicago, IL 60611 | 2008-08-05 |
| 1053585604 | Jared Ross Green | Radiology | 225 E Chicago Ave Dept Of, Chicago, IL 60611 | 2008-04-15 |
| 1235355876 | Robin Hanna | Radiology | 737 W Belden Ave Unit E, Chicago, IL 60614-3331 | 2007-04-18 |
| 1720115637 | Ronald Byron Port | Radiology | 1220 Whitebridge Hill Rd, Winnetka, IL 60093-1550 | 2007-02-27 |
| 1790779734 | Martha Cotsen Saker | Radiology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2005-09-06 |
| 1386638310 | Jackson Thomas Norman IIi | Radiology | 2300 Children's Plaza, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2005-09-06 |
| 1528408903 | Joshua H Finkle | Radiology | 240 E Huron St Ste 1-200, Chicago, IL 60611 | 2013-06-28 |
| 1710324983 | Jillian Rose Krauss | Radiology | 225 E Chicago Ave # 9, Chicago, IL 60611-2991 | 2013-05-29 |
| 1023373198 | Lindsay M Griffin | Radiology | 225 E Chicago Ave # 9, Chicago, IL 60611-2991 | 2012-07-05 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.