MR. STEPHEN M LONG (NPI# 1710211891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710211891 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN M LONG |
| Credential | PA-C |
| Practice Address |
1025 Executive Dr Suite #100 Hixson TN 37343-7916 |
| Practice Telephone | 4238702030 |
| Practice Fax Number | 4238775363 |
| Mailing Telephone | 4238702030 |
| Mailing Fax Number | 4238775363 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2014-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1753 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376633685 | Stephen Long | Physician Assistant | 1700 Wade Cir, Klamath Falls, OR 97601-1581 | 2006-10-15 |
| 1174586846 | Stephen N Long | Internal Medicine | 783 Doctors Ct, Roxboro, NC 27573-4575 | 2006-04-11 |
| 1073598207 | Stephen Gene Long | Physician Assistant | 4881 Sugar Maple Drive, Wpafb Medical Center, Wpafb, OH 45324 | 2005-12-09 |
| 1285261875 | Stephen Long Jr. | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2020-03-24 |
| 1780071324 | Stephen Long | Counselor | 128 N Chalkville Rd, Trussville, AL 35173-1373 | 2015-04-21 |
| 1518385079 | Stephen Long II | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2014-04-02 |
| 1508070723 | Stephen Michael Long | Chiropractor | 110 N Main St, Miami, OK 74354-6325 | 2007-05-09 |
| 1629117510 | Stephen E Long | Nuclear Medicine | 3231 S National Ave, Suite 130, Springfield, MO 65807-7304 | 2007-02-06 |
| 1275617334 | Stephen T Long | Counselor | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-10-25 |
| 1861505174 | Stephen Long | Psychologist | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-08-17 |
| Street Address |
1025 EXECUTIVE DR SUITE #100 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-7916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657977 | Family and Sports Medicine PC | Family Medicine | 1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 | 2005-08-31 |
| 1831222835 | Kirk A. Wilcox | Family Medicine | 1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 | 2007-03-13 |
| 1326170473 | Terri R Brunvoll | Family Medicine | 1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320468 | Bradley Hamilton | Physician Assistant | 5546 Highway 153 Ste 120, Hixson, TN 37343-5329 | 2017-07-26 |
| 1396179560 | Cara Michelle Barrett | Physician Assistant | 4980 Alpha Ln, Hixson, TN 37343-5470 | 2013-08-23 |
| 1679670590 | Patricia P Jones | Physician Assistant | 5000 Alpha Ln, Hixson, TN 37343-4054 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1316554884 | Brianna Bingham | Physician Assistant | 619 Blizzard Mines Rd, Harriman, TN 37748-3852 | 2020-09-28 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.