DR. EDWIN TUTT LONG (NPI# 1801974787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801974787 |
| Entity Type | Individual |
| Full Name | DR. EDWIN TUTT LONG |
| Credential | MD |
| Practice Address |
4550 Warwick Blvd Ste # 1209 Kansas City MO 64111-7725 |
| Practice Telephone | 8167530089 |
| Practice Fax Number | 8169607094 |
| Mailing Telephone | 8167530089 |
| Mailing Fax Number | 8169607094 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
24156 | MO | Allopathic & Osteopathic Physicians |
| X | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 24156 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104802701 | Edwin U Long | Dentist | 202 S Lexington, Harrisonville, MO 64701-5317 | 2005-12-16 |
| 1659351260 | Edwin Thomas Long | Preventive Medicine | 1 Boone Rd, Bremerton, WA 98312-1894 | 2006-01-19 |
| Street Address |
4550 WARWICK BLVD STE # 1209 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-7725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346467420 | Marcus A. Barber | Surgery | 2750 Clay Edwards Dr Ste 304, Kansas City, MO 64116-3256 | 2007-04-19 |
| 1588656243 | Robert John Anderson | Surgery | 9501 N Oak Tw 280, North Oak Med Bldg Iv, Kansas City, MO 64155-2256 | 2005-08-18 |
| 1780689810 | Craig I Schwartz | Surgery | 1300 E 104th St, Ste 150, Kansas City, MO 64131-4561 | 2005-06-15 |
| 1164633921 | Ousama Masannat | Surgery | 3901 Rainbow Blvd, Ms 1045, Kansas City, KS 66160-0001 | 2007-05-24 |
| 1992871123 | John M Forman | Surgery | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114 | 2006-11-28 |
| 1083645402 | Robert Rick Carter | Surgery | 2750 Clay Edwards Dr, #304, Kansas City, MO 64116-3237 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1366771446 | Daniel E. Cox, M.d., LLC | Surgery | 1400 Hwy. 61 South, Suite 240, Festus, MO 63028 | 2009-12-18 |
| 1659526689 | Vp Medical, LLC | Surgery | 3308 W Edgewood Dr Ste D, Jefferson City, MO 65109-6891 | 2008-11-18 |
| 1508053026 | Noks Corporation PC | Surgery | 1147b E Gannon Dr, Festus, MO 63028-2611 | 2007-09-28 |
| 1275753923 | George Fraklin Rendleman Jr. | Surgery | 12723 Topping Acres, St Louis, MO 63131 | 2007-04-26 |
| 1841367380 | Kent James Blanke | Surgery | 1408 Crown Drive, Kirksville, MO 63501 | 2006-11-29 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| 1942234331 | Gordon C Knight | Surgery | 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 | 2006-07-10 |
| 1164476339 | Midwest Aortic & Vascular Institute, P.C. | Surgery | 2750 Clay Edwards Drive, Suite 304, North Kansas City, MO 64116 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on DR. EDWIN TUTT LONG.
| 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.