DR. LONG LI (NPI# 1740625102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740625102 |
| Entity Type | Individual |
| Full Name | DR. LONG LI |
| Credential | M.D. |
| Practice Address |
3555 S Val Vista Dr Gilbert AZ 85297 |
| Mailing Address |
1255 W Washington St Tempe AZ 85281-1210 |
| Practice Telephone | 6026855211 |
| Practice Fax Number | 6026855325 |
| Mailing Telephone | 6026855166 |
| Mailing Fax Number | 6026855325 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-02-25 |
| 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 |
58027 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 W Washington St, Tempe, AZ 85281 | 6026855166 | 6026855325 |
| 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 752357708 | 2145908058 |
| Street Address |
3555 S VAL VISTA DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008982 | George M Corcoran | Pathology | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2006-01-18 |
| 1730792482 | Neena Varghese | Nurse Practitioner | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2020-08-24 |
| 1144780545 | Sarah Mae Hazel Robinson | Emergency Medical Technician, Basic | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2019-03-21 |
| 1720592967 | Melissa Jean Griffith | Perfusionist | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2017-11-27 |
| 1427560218 | Shiny Shibu | Nurse Practitioner | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2017-11-02 |
| 1730609686 | Amy Jolene Patrick | Specialist/Technologist | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2017-06-22 |
| 1780131540 | Katrina Ritter | Specialist/Technologist | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2016-09-08 |
| 1033571476 | Valley Health Solutions, LLC | Nurse Practitioner | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2016-03-24 |
| 1174999718 | Sarah Fuller | Nurse Practitioner | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2015-08-18 |
| 1528470614 | Thuy-ngan Nguyen | Internal Medicine | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| 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 |
|---|---|---|---|---|
| 1689899601 | Dan Phan | Pathology | 2680 S Val Vista Dr Ste 132, Gilbert, AZ 85295-2155 | 2007-04-16 |
| 1124008982 | George M Corcoran | Pathology | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2006-01-18 |
| 1427368778 | Stefan Costinean | Pathology | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2010-10-19 |
| 1942280367 | Yuan Lin | Pathology | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200632 | Eric David Peters | Pathology | 11545 E Quiet Valley Pl, Tucson, AZ 85749-8884 | 2020-09-17 |
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1144638008 | Michael Moore | Pathology | 8796 N Western Red Cedar Dr, Tucson, AZ 85743-7146 | 2014-07-23 |
| 1356683155 | Belinda Liu Sun | Pathology | 1501 N Campbell Ave Rm 5205, Tucson, AZ 85724-7232 | 2013-03-20 |
| 1669717815 | Guadalupe Hortencia Manriquez | Pathology | 7601 N Calle Sin Envidia, 31, Tucson, AZ 85718-1271 | 2012-11-29 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1336471846 | Peter Salomon | Pathology | 6344 E Miramar Dr, Tucson, AZ 85715-3115 | 2010-02-08 |
| 1427387372 | Meryl Harold Haber | Pathology | 8464 E Charter Oak Dr, Scottsdale, AZ 85260-5315 | 2009-12-23 |
| 1538492400 | Paul Boschen Visconti | Pathology | 33619 N 79th Way, Scottsdale, AZ 85266-4241 | 2009-09-10 |
| 1417186305 | Brent J Bedke | Pathology | 1740 Sycamore Ave Ste C, Kingman, AZ 86409-1039 | 2009-07-13 |
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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.