MR. LARRY LONG (NPI# 1720040652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720040652 |
| Entity Type | Individual |
| Full Name | MR. LARRY LONG |
| Credential | PA-C |
| Practice Address |
9305 Pinecroft Dr Suite 101 The Woodlands TX 77380-3482 |
| Mailing Address |
909 Frostwood Dr Suite 1.100 Houston TX 77024-2301 |
| Practice Telephone | 7138977500 |
| Mailing Telephone | 7133384523 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2015-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05436 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003096546 | Larry Stuart Long | Pharmacist | 3105 Love Ct, Gastonia, NC 28056-8869 | 2007-11-13 |
| 1053530873 | Larry I Long | Dentist | 7029 Vista Dr, West Des Moines, IA 50266-9311 | 2007-04-24 |
| 1184736878 | Larry D Long | Dentist | 102 North Fourth Street, Youngwood, PA 15697-1383 | 2006-08-31 |
| 1275527137 | Larry Keith Long | Dentist | 2624 Jenks Ave Ste 1, Panama City, FL 32405 | 2005-09-07 |
| 1346313061 | Larry Eugene Long Jr. | Psychologist | 8080 Ward Pkwy, Suite 330, Kansas City, MO 64114-2034 | 2006-11-17 |
| Street Address |
9305 PINECROFT DR SUITE 101 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77380-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144858960 | Meghan Piro | Physical Therapist | 9305 Pinecroft Dr, The Woodlands, TX 77380-3482 | 2020-03-28 |
| 1124492541 | Memorial Hermann Surgery Center Pinecroft, LLC | Clinic/Center | 9305 Pinecroft Dr, Suite 200, The Woodlands, TX 77380-3482 | 2015-11-23 |
| 1023491982 | Ut Physicians | Pediatrics | 9305 Pinecroft Dr, Ste 400, The Woodlands, TX 77380-3482 | 2015-07-09 |
| 1609203793 | Janice Guillot Jeansonne | Nurse Practitioner | 9305 Pinecroft Dr, Suite 300, The Woodlands, TX 77380-3482 | 2013-10-03 |
| 1073847042 | Scott Taylor Bassett | Internal Medicine | 9305 Pinecroft Dr, Ste 300, The Woodlands, TX 77380-3482 | 2009-09-23 |
| 1588895312 | Paula Marie Ramey-perez | Audiologist | 9305 Pinecroft Dr, The Woodlands, TX 77380-3223 | 2009-07-28 |
| 1356545958 | Alicia Taskara Waits | Anesthesiology | 9305 Pinecroft Dr, The Woodlands, TX 77380-3223 | 2007-06-14 |
| 1679774459 | Samir Pradeep Shirodkar | Urology | 9305 Pinecroft Dr, Suite 104, The Woodlands, TX 77380-3482 | 2007-05-30 |
| 1457449191 | Hilton Wong Yee | Plastic Surgery | 9305 Pinecroft Dr, Suite 303, The Woodlands, TX 77380-3223 | 2006-10-10 |
| 1194828020 | John C Rogers | Family Medicine | 9305 Pinecroft Dr, S 301, The Woodlands, TX 77380-3223 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| 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 |
|---|---|---|---|---|
| 1619354024 | Virginia Ruth Pinney | Physician Assistant | 18 Starviolet St, The Woodlands, TX 77380-1442 | 2015-05-05 |
| 1134519226 | Elaina Wickman | Physician Assistant | 6767 Lake Woodlands Dr., Suite F, The Woodlands, TX 77382-2566 | 2015-01-28 |
| 1467601930 | Marina Kamyshin | Physician Assistant | 8000 Research Forest Dr Ste 360, The Woodlands, TX 77382 | 2008-09-09 |
| 1063446789 | Laura Everett Sheffer | Physician Assistant | 920 Medical Plaza Drive, #300, The Woodlands, TX 77380-3256 | 2006-07-10 |
| 1881169795 | Kaylee Nemeth | Physician Assistant | 9305 Pinecroft Dr Ste 400, The Woodlands, TX 77380-3482 | 2018-10-06 |
| 1083191779 | Paige Savage | Physician Assistant | 17191 St Lukes Way Ste 200, The Woodlands, TX 77384-8043 | 2018-07-25 |
| 1720586464 | Alexander John Funck | Physician Assistant | 10333 Kuykendahl Rd Ste B, The Woodlands, TX 77382 | 2018-01-29 |
| 1942729017 | Joshua Michael Baker | Physician Assistant | 1441 Woodstead Ct Ste 300, The Woodlands, TX 77380-1449 | 2017-09-11 |
| 1982058103 | Danielle D'eugenio | Physician Assistant | 17350 St Lukes Way Ste 400, Medical Arts II Building, The Woodlands, TX 77384-4167 | 2016-04-14 |
| 1770955544 | Ann Bailey | Physician Assistant | 17183 Interstate 45 South, Suite 210, The Woodlands, TX 77385 | 2015-10-20 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| Zip Code | 77380 |
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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.