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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100131980B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528484854 | David James Long | Mechanotherapist | 2732 Capital Cir Ne Ste 3, Tallahassee, FL 32308-4108 | 2014-03-11 |
1225258197 | David A Long | Chiropractor | 1607 Middleford Rd, Seaford, DE 19973-3617 | 2007-04-26 |
1871603613 | David Allen Long | Internal Medicine | 7035 Central Ave Ste B, St Petersburg, FL 33710-7508 | 2006-08-30 |
1255372314 | David Long | Chiropractor | 411 Horsham Rd, Horsham, PA 19044-2025 | 2006-06-09 |
1134167315 | David Glenn Long | Dentist | 1697 142nd Ave, Dorr, MI 49323-9426 | 2006-06-02 |
1710931571 | David R Long | Physical Therapist | 1672 West College St, Pulaski, TN 38478 | 2006-05-19 |
1538780374 | David Long | Student in an Organized Health Care Education/Training Program | 700 19th St S, Birmingham, AL 35233-1927 | 2020-05-04 |
1205398997 | David Long | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0002 | 2019-04-02 |
1225457161 | David Michael Long | Dentist | 78461 Highway 111, La Quinta, CA 92253 | 2014-04-08 |
1902223324 | David Long | Internal Medicine | 535 Barnhill Dr, Dept Radiation Oncology, Indianapolis, IN 46202-5116 | 2014-03-24 |
Street Address |
700 S TELEPHONE ROAD |
City | MOORE |
State | OK |
Zip Code | 73160 |
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 |
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 Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497774616 | Moore Emergency Physicians, LLC | Emergency Medicine | 700 S Telephone Rd, Moore, OK 73160-2502 | 2006-07-19 |
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 |
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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.