MR. DAVID A LONG II


Address: 700 S Telephone Road, Moore, OK 73160
Phone: 4057939355

MR. DAVID A LONG II (NPI# 1922065069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922065069
Entity Type Individual
Full Name MR. DAVID A LONG II
Credential M.D.
Practice Address 700 S Telephone Road
Moore
OK 73160
Mailing Address 6604 Avondale Dr
Nichols Hills
OK 73116-6018
Practice Telephone 4057939355
Enumeration Date 2006-05-01
Last Update Date 2010-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 20241 OK Allopathic & Osteopathic Physicians
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
20241 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100131980B 05

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1902223324 David Long Internal Medicine 535 Barnhill Dr, Dept Radiation Oncology, Indianapolis, IN 46202-5116 2014-03-24

Office Location

Street Address 700 S TELEPHONE ROAD
City MOORE
State OK
Zip Code 73160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811942345 Angela Selmon Emergency Medicine 700 S Telephone Road, Moore, OK 73160 2006-05-23
1699727081 Michael Padgham Emergency Medicine 700 S Telephone Road, Moore, OK 73160 2006-05-16
1366490088 Josh E Mcwilliams Emergency Medicine 700 S Telephone Road, Moore, OK 73160 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225678576 Crystal Amanda Pitts Student in an Organized Health Care Education/Training Program 628 Allison Ln, Moore, OK 73160 2020-01-14
1982247623 Tammie Lee Haworth Occupational Therapy Assistant Quest, 400 N Eastern Ave, Moore, OK 73160 2019-10-25
1477102580 Php Management Group, LLC Non-Pharmacy Dispensing Site 1110 Magnolia Court, Moore, OK 73160 2019-09-11
1477117893 Pharmology Moore LLC Pharmacy 1280 N Eastern Ave, Suite F, Moore, OK 73160 2019-05-01
1154891943 Leah Cordell Nurse Practitioner 1280 North Eastern Ave., Suite F, Moore, OK 73160 2018-12-05
1467962332 Healthcare Express, LLP Clinic/Center 551 Se 4th Street, Moore, OK 73160 2017-10-05
1306379557 Dicarlo Venegas Behavior Technician 716 Wood Hollow Ln, Moore, OK 73160 2017-04-05
1073050167 Tyron Dorrell Cosby Sr. Case Manager/Care Coordinator 1416 Penn Ln., Moore, OK 73160 2017-01-26
1326592650 Kristin Kelley Counselor 1113 S Avery Dr, Moore, OK 73160 2016-08-03
1376912600 Allison Kay Griffiths Counselor 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 2015-09-16
Find all providers in zip 73160

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497774616 Moore Emergency Physicians, LLC Emergency Medicine 700 S Telephone Rd, Moore, OK 73160-2502 2006-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285978007 Medicine Wheel Inc Emergency Medicine 128 Buffalo Street, Caddo, OK 74729 2012-11-16
1326149048 Nadim N Daher Emergency Medicine 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 2006-09-26
1578512596 Medhat S.f. Michael Emergency Medicine 1265 E 33rd St, Edmond, OK 73013-6307 2006-05-08
1639137409 Jerry C Childs Jr. Emergency Medicine 1520 Morning Star, Edmond, OK 73034-6579 2006-05-02
1134186299 Boyd David Burns Emergency Medicine 4502 E. 41st St, Tulsa, OK 74135-9923 2006-05-01
1649235532 Stephen R Gilliland Emergency Medicine 8813 S 71st East Ave, Tulsa, OK 74133-5056 2006-04-20
1811959166 Andrew Mark Hoelscher Emergency Medicine 8105 Nw Expressway, Oklahoma City, OK 73162-6004 2006-04-03
1841260015 Joseph M. Nicholson IIi Emergency Medicine 1435 S Utica Ave, Tulsa, OK 74104-4649 2006-01-23
1518947100 Elizabeth S Monnot Emergency Medicine 503 S Aspen Ave, Broken Arrow, OK 74012-2296 2006-01-19
1225018757 Stanley R Stacy Emergency Medicine 7153 S Yale Ave, Tulsa, OK 74136-6308 2006-01-19
Find all providers with the same taxonomy

Competitor

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City MOORE
Zip Code 73160

Improve Information

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Dataset Information

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.

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