ANDREA MICHELLE LONG (NPI# 1851529564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851529564 |
| Entity Type | Individual |
| Full Name | ANDREA MICHELLE LONG |
| Credential | MD |
| Practice Address |
2823 Fresno St Fresno CA 93721-1324 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5594593770 |
| Practice Fax Number | 5594593571 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A143241 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A143241 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A143241 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134375033 | Andrea Long | Case Manager/Care Coordinator | 4405 Waterlily Cv, Lexington, KY 40515-6471 | 2008-08-11 |
| 1689198186 | Andrea C Long | Pharmacist | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 | 2017-07-27 |
| 1619210853 | Andrea Lynn Long | Social Worker | 304 S Niagara St, Saginaw, MI 48602-1570 | 2013-04-05 |
| 1821385303 | Andrea Long | Social Worker | 4161 Carmichael Ave, 3300 Building, Suite 150, Jacksonville, FL 32207-2353 | 2011-07-05 |
| 1336463694 | Andrea Eileen Long | Occupational Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2010-03-16 |
| 1225193014 | Andrea Long | Speech-Language Pathologist | 4901 N Shore Dr, North Little Rock, AR 72118-5293 | 2006-12-22 |
| 1194891598 | Andrea Long | Counselor | 1805 Airline Blvd, Portsmouth, VA 23707-3912 | 2006-11-28 |
| 1194804963 | Andrea Long | Physical Therapist | 6300 Telegraph Ave, Oakland, CA 94609-1329 | 2006-11-03 |
| Street Address |
2823 FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502449 | Catherine C Thaxter | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2005-10-19 |
| 1558973362 | Craig M Peek | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-21 |
| 1336759513 | James M Nguyen | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-03 |
| 1205445715 | Mckinsey Holthaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-07-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1639792831 | Surpreme Health | Internal Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-21 |
| 1588286439 | Haylee Degrood | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-14 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1154941011 | Kylie Wermund | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-04-21 |
| 1326674292 | Amritpal Singh Padda | Nurse Practitioner | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1457583155 | Tienchin Ho | Surgery | 1341 E Santa Ana Ave, Fresno, CA 93704-3435 | 2009-08-13 |
| 1063642866 | Juergen P. Krauthammer, Md, Inc | Surgery | 6057 N 1st St Ste 105, Fresno, CA 93710-5468 | 2009-07-15 |
| 1992961270 | John Chih-chieh Lin | Surgery | 7575 N Cedar Ave Ste 101, Fresno, CA 93720-2693 | 2008-08-06 |
| 1417118159 | Ibironke Vivian Adelaja | Surgery | 2335 E Kashian Ln Ste 220, Fresno, CA 93701-2211 | 2008-06-24 |
| 1790950137 | Herbert E. Gladen, M.d., Inc. | Surgery | 2351 W Loma Linda Ave, Fresno, CA 93711-0417 | 2008-04-28 |
| 1932370335 | Camille Avina Miller | Surgery | 2823 North Fresno Street, Dept of Surgery, 1st Floor, Fresno, CA 93721 | 2008-03-13 |
| 1578731428 | Kalwant S Dhillon | Surgery | 4425 W Ashlan Ave Ste 106, Fresno, CA 93722-7017 | 2008-02-13 |
| 1255519583 | Jennifer Louise Hubbard | Surgery | 2823 N Fresno St, Fresno, CA 93701 | 2008-02-08 |
| 1386825164 | Ana Luisa De La Sierra | Surgery | 5388 W Donner Ave, Fresno, CA 93722-3765 | 2007-11-20 |
| 1629278031 | Paul Frazier Frye | Surgery | 3075 W Silverhill Ln, Fresno, CA 93711-1176 | 2007-07-23 |
| Find all providers in FRESNO | ||||
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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.