DR. KEVIN BRANDON LONG (NPI# 1689747776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689747776 |
| Entity Type | Individual |
| Full Name | DR. KEVIN BRANDON LONG |
| Credential | M.D. |
| Practice Address |
1124 Columbia St Suite 200 Seattle WA 98104-2026 |
| Practice Telephone | 2065766050 |
| Practice Fax Number | 2062155935 |
| Mailing Telephone | 2065766050 |
| Mailing Fax Number | 2062155935 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD60145491 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114022100 | Kevin L. Long | Chiropractor | 3141 Columbia Ave, Lancaster, PA 17603-4012 | 2006-09-14 |
| 1992759740 | Kevin R. Long | Nurse Practitioner | 1824 King St Ste 300, Jacksonville, FL 32204 | 2006-05-19 |
| 1205440708 | Kevin Long | Physical Therapist | 1301 E Bidwell St Ste 201, Folsom, CA 95630-3565 | 2020-09-02 |
| 1497254494 | Kevin Long | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-02-05 |
| 1215164447 | Kevin Carl Long | Colon & Rectal Surgery | 100 North Academy Ave, Mc 21-69, Danville, PA 17822 | 2009-06-15 |
| 1912096306 | Kevin R Long | Specialist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-10-12 |
| Street Address |
1124 COLUMBIA ST SUITE 200 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265461099 | Milah B Frownfelter | Internal Medicine | 1124 Columbia St, Suite 620, Seattle, WA 98104-2026 | 2006-07-02 |
| 1801383674 | Troy Azuogu | Specialist/Technologist | 1124 Columbia St, Seattle, WA 98104-2026 | 2018-04-17 |
| 1184140246 | Bespoke Treatments Seattle Pt Pllc | Physical Therapist | 1124 Columbia St, Seattle, WA 98104-2026 | 2017-08-20 |
| 1720521933 | Leslie Sutton Lee | Dietitian, Registered | 1124 Columbia St, Ste 400, Seattle, WA 98104-2053 | 2016-11-21 |
| 1720531197 | Rebecca A Lundborg | Dietitian, Registered | 1124 Columbia St, Suite 600, Seattle, WA 98104-2026 | 2016-08-02 |
| 1376908954 | Seattle Medical Associates Pllp | Internal Medicine | 1124 Columbia St, Suite 620, Seattle, WA 98104-2026 | 2015-12-23 |
| 1629406525 | Jennifer Strumolo | Physician Assistant | 1124 Columbia St, Ste 400, Seattle, WA 98104-2026 | 2013-10-31 |
| 1972948115 | Min Kyung Lyou | Nurse Practitioner | 1124 Columbia St, Ste 600, Seattle, WA 98104-2046 | 2013-05-01 |
| 1851667919 | Meghan J Driscoll | Pathology | 1124 Columbia St, Seattle, WA 98104 | 2012-03-22 |
| 1407149792 | Steven Carl Quay | Pathology | 1124 Columbia St, Suite 621, Seattle, WA 98104-2026 | 2011-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316367857 | Paul Dennis Simonson | Pathology | Uwmc Anatomic Pathology, 1959 Ne Pacific, Box 356100, Seattle, WA 98195-0001 | 2014-04-23 |
| 1629413109 | Paula Marie Jenkins Colon | Pathology | Uw Medicine Pathology 1959 Ne Pacific St, Box 357470, Seattle, WA 98195-0001 | 2013-05-09 |
| 1104167550 | Pakc-dsl Inc Ps | Pathology | 550 17th Ave., Ste. 300, Seattle, WA 98122 | 2013-03-11 |
| 1801190186 | Malcolm Scott Stirton | Pathology | 6347 Beach Dr Sw, Seattle, WA 98136-1351 | 2010-12-31 |
| 1063730745 | Bup-jong Jennifer Kum | Pathology | 1124 Columbia St # 8320, Seattle, WA 98104 | 2010-05-05 |
| 1689866501 | Sandra L White | Pathology | 1001 Sw Klickitat Way Ste 205, Psip, Seattle, WA 98134-1161 | 2007-08-14 |
| 1003963950 | Erin Rudzinski | Pathology | 4800 Sandpoint Way Ne, A6901, Department of Laboratories, Seattle, WA 98105 | 2007-01-04 |
| 1578543351 | Joren Brent Keylock | Pathology | 1001 Sw Klickitat Way, Suite 205, Puget Sound Institute of Pathology, Seattle, WA 98134 | 2006-01-18 |
| 1174505226 | Kenneth Alan Meckler | Pathology | 1001 Klickitat Way Sw, #205, Seattle, WA 98134 | 2005-11-15 |
| 1295717346 | Ilya Stone | Pathology | 1001 Sw Klickitat Way, #205, Seattle, WA 98134-1161 | 2005-11-15 |
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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.