KATHLEEN ANN LONG (NPI# 1710367503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710367503 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANN LONG |
| Practice Address |
800 Hospital Dr Columbia MO 65201-5275 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738146000 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2019010679 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1020 Hitt St, Columbia, MO 652120001 | 5738824800 | 5738840723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1720346372 | Kathleen Ellen Long | Speech-Language Pathologist | 11142 S Campbell Ave, Chicago, IL 60655-1316 | 2012-05-01 |
| 1184873259 | Kathleen Long | Acupuncturist | 1137 Second St., #116, Santa Monica, CA 90403 | 2008-09-15 |
| 1407821648 | Kathleen Long | Psychologist | 508 Gray Rd, Windham, ME 04062-4831 | 2006-02-21 |
| 1538139068 | Kathleen Adele Long | Nurse Practitioner | 300 E 8th St Ste 120, Marietta, OH 45750-3379 | 2006-01-26 |
| 1043215403 | Kathleen A. Long | Internal Medicine | 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 | 2005-06-14 |
| 1558998633 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000 | 2020-03-26 |
| 1083176788 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2019-04-02 |
| 1295087252 | Kathleen Long | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2012-10-15 |
| 1154514552 | Kathleen Cleadette Long | Counselor | 1608 S Elwood Ave, Tulsa, OK 74119-4208 | 2007-08-20 |
| Street Address |
800 HOSPITAL DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-5275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325496 | Jessica J Teter | Internal Medicine | 800 Hospital Dr, Columbia, MO 65201-5275 | 2005-06-01 |
| 1841890498 | Jungjik Park | Pharmacist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-10-31 |
| 1023616794 | Jesse L Herman Jr. | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-10-14 |
| 1871109439 | Jennifer Chase Stem | Occupational Therapist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-09-18 |
| 1457962086 | Katie Lynn Karl Mcdannald | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-08-17 |
| 1073123675 | Noel Marie Elrod | Psychologist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-08-07 |
| 1780205583 | Jennifer Kay Luebbering | Pharmacist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-05-03 |
| 1720608995 | Bracy Ann Sickal | Registered Nurse | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-04-17 |
| 1205455227 | Abigail Stotler | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-04-09 |
| 1316570831 | Harrison Smith | Physician Assistant | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537057 | Cayce Medical Spa, Inc | Dermatology | 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 | 2018-11-14 |
| 1366946832 | Novahealth Medical Group, LLC | Dermatology | 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 | 2018-03-20 |
| 1508248576 | Kaitlin Ann Schiavo | Dermatology | 204 N Keene St Ste 100, Columbia, MO 65201-8136 | 2015-06-25 |
| 1588041289 | Megan Casady | Dermatology | 10710 Charter Dr Ste 420, Columbia, MD 21044-3276 | 2015-05-01 |
| 1104239037 | Ashley Miles Jenkins | Dermatology | 1000 W Nifong Blvd Ste 150, Columbia, MO 65203-5615 | 2014-06-09 |
| 1497000723 | Leslie Brooke Mills | Dermatology | 2011 Corona Rd Ste 207, Columbia, MO 65203-2548 | 2012-07-24 |
| 1225397458 | Wynn Kao Dermatology, LLC | Dermatology | 10705 Charter Dr Ste 330, Columbia, MD 21044-2885 | 2012-05-08 |
| 1073811253 | Edward Shmunes | Dermatology | 3701 Northshore Rd, Columbia, SC 29206-3365 | 2011-03-11 |
| 1316178346 | M.r. Taylor Rayburn, Jr. M.d. P.C. | Dermatology | 1411 Hatcher Ln, Columbia, TN 38401-3535 | 2009-08-08 |
| 1518193630 | Chesahna Kindred | Dermatology | 8900 Columbia 100 Pkwy Ste F, Columbia, MD 21045-2336 | 2009-06-03 |
| Find all providers in COLUMBIA | ||||
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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.