DR. MICAH LONG (NPI# 1750518213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750518213 |
| Entity Type | Individual |
| Full Name | DR. MICAH LONG |
| Credential | MD |
| Practice Address |
600 Highland Ave Uw Hospitals - Department of Anesthesiology Madison WI 53792-0001 |
| Practice Telephone | 9207165410 |
| Mailing Telephone | 9207165410 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2017-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
60758-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
600 HIGHLAND AVE UW HOSPITALS - DEPARTMENT OF ANESTHESIOLOGY |
| City | MADISON |
| State | WI |
| Zip Code | 53792-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141530 | Michael A Porte | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2005-06-01 |
| 1922606433 | Catherine Harnois | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2020-10-16 |
| 1265039812 | Sara Brown | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2020-10-07 |
| 1063019602 | Angela Filauro Schroeder | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-10-06 |
| 1134736556 | Kelly A Kopecki | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-29 |
| 1699382051 | Megan Elizabeth Grassl | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-29 |
| 1568079234 | Michelle Catherine Sawaya | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-28 |
| 1417564113 | Megan Severa | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-26 |
| 1275140055 | Danielle Knox Alexander | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-25 |
| 1427665397 | Kristan O'toole | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1700334745 | Krista Lee Rieger | Pharmacist | 600 Higland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2016-09-20 |
| 1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1417363888 | Jenna Bender | Pharmacist | 600 Highland Avenue, 1530, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2014-07-07 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
| Find all providers in zip 53792 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942276415 | Douglas B Coursin | Anesthesiology | 600 Highland Ave, Madison, WI 53792-0001 | 2006-02-24 |
| 1689655995 | Mark A Leibel | Anesthesiology | 600 Highland Ave, B6/319 Csc, Madison, WI 53792-3272 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831509470 | Christina S Thomas | Anesthesiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2014-05-05 |
| 1417299843 | Matthew Jeranek | Anesthesiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-03-24 |
| 1780976787 | Ayman Magdy Nemr | Anesthesiology | 500 E Veterans St, Tomah, WI 54660-3105 | 2011-05-09 |
| 1952548547 | Aurora Medical Group, Inc. | Anesthesiology | 945 N 12th St, Milwaukee, WI 53233-1305 | 2009-01-19 |
| 1164693891 | Joshua A Multack | Anesthesiology | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2008-03-20 |
| 1568480044 | Robb R Whinney | Anesthesiology | 510 N Terrace St, Janesville, WI 53548-2906 | 2006-07-17 |
| 1992746556 | David W Koski | Anesthesiology | 240 Maple St, Woodruff, WI 54568-0470 | 2006-06-08 |
| 1710939319 | Eric J Walbergh | Anesthesiology | 9000 W Wisconsin Ave, Pediatric Anesthesiology, Milwaukee, WI 53226-4874 | 2006-05-16 |
| 1902857741 | George M Hoffman | Anesthesiology | 9000 W Wisconsin Ave, Pediatric Anesthesiology, Milwaukee, WI 53226-4874 | 2006-05-15 |
| 1346221637 | Thomas Kunkel | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-14 |
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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.