Melissa C Long (NPI# 1033598230, PAC ID# 1658688437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033598230 |
| PAC ID by PECOS | 1658688437 |
| Professional Enrollment ID | I20150910001696 |
| Full Name | Melissa C Long |
| Organization Legal Name | WAHIDULLAH MEDICAL CORPORATION |
| Address |
2440 23rd St Eureka CA 95501-3203 |
| Phone Number | 7072982011 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0345473062 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050764 | SHASTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2440 23rd St, Eureka, CA 95501-3203 | 7072982011 | WAHIDULLAH MEDICAL CORPORATION |
| Organization Legal Name | WAHIDULLAH MEDICAL CORPORATION |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chia L Chen | Emergency Medicine | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Lynn Marie Szabo | Physician Assistant | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Joan Butler | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Ragan Fall | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Aileen M Burns | Physician Assistant | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Kara S Zertuche | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Karen A Moulton | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Uzi M Selcer | Infectious Disease | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Margaret J Lawson | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Street Address |
2440 23RD ST |
| City | EUREKA |
| State | CA |
| Zip | 95501-3203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chia L Chen | Emergency Medicine | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Lynn Marie Szabo | Physician Assistant | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Joan Butler | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Ragan Fall | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Aileen M Burns | Physician Assistant | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Kara S Zertuche | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Karen A Moulton | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Uzi M Selcer | Infectious Disease | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Margaret J Lawson | Nurse Practitioner | Wahidullah Medical Corporation | 2440 23rd St, Eureka, CA 95501-3203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Michelle Okeefe | Clinical Social Worker | 10 W 7th St, Eureka, CA 95501-0299 | |
| Gerald M Drucker | Psychologist, Clinical | 350 E St, Suite 404, Eureka, CA 95501-0352 | |
| Andrew S Greer | Clinical Psychologist | 350 E St, Suite 202, Eureka, CA 95501-0378 | |
| Laurie Ann Monroe | Clinical Social Worker | 350 E Street, Suite 408, Eureka, CA 95501-0379 | |
| Virginia A Hassrick | Clinical Social Worker | 517 3rd St, Suite 35, Eureka, CA 95501-0460 | |
| Janine Renee Davis | Clinical Social Worker | 517 3rd St, Suite 39, Eureka, CA 95501-0460 | |
| Craig A Kraffert | Dermatology | Redding Dermatology Medical Group, Inc. | 525 2nd St, Suite 219, Eureka, CA 95501-0488 |
| James B Pratt | Physician Assistant | Redding Dermatology Medical Group, Inc. | 525 2nd St, Suite 219, Eureka, CA 95501-0488 |
| Donna L Childs | Occupational Therapy | 525 2nd St, Suite 103, Eureka, CA 95501-0488 | |
| Robert E Soper | Psychiatry | 104 W St, Eureka, CA 95501-0834 | |
| Find all physicians in zip 95501 | |||
| City | EUREKA |
| Zip Code | 95501 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EUREKA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.