HERBERT W LONG (NPI# 1801890686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801890686 |
| Entity Type | Individual |
| Full Name | HERBERT W LONG |
| Credential | MD |
| Practice Address |
417 River Dr Irvine KY 40336-1272 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 6067230399 |
| Practice Fax Number | 6067230379 |
| Mailing Telephone | 6063307818 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31482 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | UMWA | 1532269 | 01 |
| KY | 35001262 | 05 | |
| KY | 64314826 | 05 | |
| KY | HUMANA | 000889063 | 01 |
| KY | CHA HEALTH | 1166070 | 01 |
| KY | ANTHEM BCBS ID | 000000052184 | 01 |
| KY | UNITED HEATLH CARE | 01-00767 | 01 |
| KY | BLUEGRASS FAMILY HEALTH | 2768 | 01 |
| KY | TRICARE | 61-1341297 | 01 |
| KY | AETNA ID | 5211107 | 01 |
| Street Address |
417 RIVER DR |
| City | IRVINE |
| State | KY |
| Zip Code | 40336-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063838456 | Kentucky One Health Medical Group, Inc. | Clinic/Center | 417 River Dr, Irvine, KY 40336-1272 | 2014-03-10 |
| 1316993165 | Trina R. Mattingly | Nurse Practitioner | 417 River Dr, Irvine, KY 40336-1272 | 2006-05-25 |
| 1841294576 | Thomas E Kirby | Physician Assistant | 417 River Dr, Irvine, KY 40336-1272 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1790076156 | Jan Andrea Brandenburg | Pharmacist | 110 Richmond Road, Irvine, KY 40336 | 2011-04-20 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
| 1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
| 1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
| 1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| Find all providers in zip 40336 | ||||
| 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 |
|---|---|---|---|---|
| 1720621634 | Sherif Labatia Md & Marianne Mikhail Md Inc | Family Medicine | 4950 Barranca Pkwy Ste 308, Irvine, CA 92604-4631 | 2019-10-23 |
| 1770068629 | St Joseph Heritage Healthcare | Family Medicine | 1 Edwards Way, Irvine, CA 92614-5688 | 2018-09-26 |
| 1851888671 | Infinity Medicine Inc | Family Medicine | 9950 Research Dr, Irvine, CA 92618-4309 | 2018-04-17 |
| 1336650068 | Newport Personal Medicine, Inc. | Family Medicine | 22 Odyssey Ste 110, Irvine, CA 92618-3186 | 2017-10-20 |
| 1457886095 | Wayland Tang | Family Medicine | 3877 Portola Pkwy, Irvine, CA 92602-0828 | 2017-04-20 |
| 1891148102 | Community Performancerx Mso, LLC | Family Medicine | 9701 Jeronimo Rd, Suite 300, Irvine, CA 92618-2076 | 2016-07-21 |
| 1376998732 | Janet Solis | Family Medicine | 307 Verano Pl, Irvine, CA 92617-3107 | 2016-05-04 |
| 1164878534 | Sadaf Sareshwala | Family Medicine | 1001 Health Sciences Rd, Irvine, CA 92697-3054 | 2016-05-04 |
| 1538543376 | Network of Orange County Community Health Center | Family Medicine | 17701 Cowan, Suite 220, Irvine, CA 92614-6057 | 2015-07-10 |
| 1518349216 | St Jude Hospital Yorba Linda, Inc. | Family Medicine | 3355 Michelson Dr, Ste. 490, Irvine, CA 92612-0684 | 2015-06-18 |
| Find all providers in IRVINE | ||||
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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.