GREGORY LONG (NPI# 1720008881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720008881 |
| Entity Type | Individual |
| Full Name | GREGORY LONG |
| Credential | MD |
| Practice Address |
600 N Westhaven Dr Oshkosh WI 54904-6926 |
| Mailing Address |
Po Box 8003 Appleton WI 54912-8003 |
| Practice Telephone | 9202375000 |
| Practice Fax Number | 9202375001 |
| Mailing Telephone | 9209963298 |
| Mailing Fax Number | 9207385787 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34345 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31943500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1013076389 | Gregory William Long | Dentist | 207 Emerson Drive, Zelienople, PA 16063 | 2006-12-06 |
| 1790276475 | Gregory Long | Pharmacist | 1010 N Prospect St Ste 56, Bowling Green, OH 43402-1335 | 2018-05-29 |
| 1912322868 | Gregory Long | Counselor | 1400 W Northwest Hwy, 260, Grapevine, TX 76051-8113 | 2014-03-02 |
| 1124376660 | Gregory George Long | Dentist | 209 Birch Street, Westwood, CA 96137 | 2012-08-15 |
| 1548599632 | Gregory Adam Long | Counselor | 14 Fordham Rd, Allston, MA 02134-3006 | 2009-12-18 |
| 1437340783 | Gregory J Long | Orthotist | 23961 Calle De La Magdalena Ste 153, Laguna Hills, CA 92653-3616 | 2007-08-01 |
| 1225106438 | Gregory A Long | Psychologist | 1 Lucinda Ave., Niu Speech-language and Hearing Clinic, Dekalb, IL 60115-2899 | 2006-12-04 |
| 1467437731 | Gregory A Long | Social Worker | 604 E 25th St, Cheyenne, WY 82001-3133 | 2005-12-09 |
| 1952303471 | Gregory Scott Long | Internal Medicine | 314 E North Ave, Level One, Pittsburgh, PA 15212-4756 | 2005-08-15 |
| Street Address |
600 N WESTHAVEN DR |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-6926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953843 | Julie K Rivers | Physician Assistant | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2005-09-22 |
| 1063072585 | Tina M Griffith | Counselor | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2019-06-17 |
| 1093244840 | Jamie D Vandenheuvel | Registered Nurse | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2017-06-06 |
| 1861943409 | Thedacare Regional Medical Center-neenah, Inc. | General Acute Care Hospital | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2016-10-19 |
| 1508216367 | Allison M Stephenson | Nurse Practitioner | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2016-06-13 |
| 1609299981 | Elizabeth Strong | Social Worker | 600 N Westhaven Dr, Oshkosh, WI 54904 | 2014-01-22 |
| 1043451412 | Holly A Hedge | Nurse Practitioner | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2009-03-16 |
| 1114176641 | Tracy K Fritz | Nurse Practitioner | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2008-09-09 |
| 1700070612 | Lisa Rae Hoger | Nurse Practitioner | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2007-09-04 |
| 1053472142 | Sarah Elizabeth Danahy | Social Worker | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215033972 | Dilip Kumar Tannan | Family Medicine | 555 S Washburn St, Cte 2, Oshkosh, WI 54904-6710 | 2006-09-16 |
| 1063421683 | Scott J Beougher | Family Medicine | 5165 Chesapeake Ct, Oshkosh, WI 54901-1329 | 2006-08-05 |
| 1891704417 | Kristin P Beougher | Family Medicine | 5169 Chesapeake Ct, Oshkosh, WI 54901 | 2006-08-05 |
| 1063406973 | Harold W Boccheciamp | Family Medicine | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2005-09-07 |
| 1134120033 | Shawn C. Ekstrom | Family Medicine | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2005-08-02 |
| 1336639202 | Kassondra K Korth | Family Medicine | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-05-15 |
| 1134641384 | George M Lessmann | Family Medicine | 135 Jackson St, Oshkosh, WI 54901-4713 | 2017-07-10 |
| 1568994853 | Sarah Wypiszynski | Family Medicine | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2017-03-28 |
| 1346624178 | Emily Favret | Family Medicine | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2015-07-10 |
| 1336552280 | Regional West Garden County | Family Medicine | 1100 W 2nd St, Ste 100, Oshkosh, NE 69154-6152 | 2014-06-09 |
| Find all providers in OSHKOSH | ||||
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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.