John Long (NPI# 1063442648, PAC ID# 2264497502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1063442648 |
| PAC ID by PECOS | 2264497502 |
| Professional Enrollment ID | I20041129000098 |
| Full Name | John Long |
| Organization Legal Name | METRO-WEST ANESTHESIA GROUP INC |
| Address |
100 Medical Plz Lake Saint Louis MO 63367-1366 |
| Phone Number | 6366255200 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 2163329921 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340131 | CAROLINA EAST MEDICAL CENTER |
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 16455 Statesville Rd, Huntersville, NC 28078-7135 | 7049878024 | SOUTHEAST ANESTHESIOLOGY CONSULTANTS PLLC |
| 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 6366255200 | METRO-WEST ANESTHESIA GROUP INC |
| 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2526338111 | SOUTHEAST ANESTHESIOLOGY CONSULTANTS PLLC |
| 630 Mccarthy Blvd, New Bern, NC 28562-5231 | 2526332000 | SOUTHEAST ANESTHESIOLOGY CONSULTANTS PLLC |
| Organization Legal Name | METRO-WEST ANESTHESIA GROUP INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amie M Clark | Certified Registered Nurse Anesthetist | Metro-west Anesthesia Group Inc | 10448 Old Olive St Rd, Suite 100, Creve Coeur, MO 63141-5927 |
| Amy D Kosanke | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1040 Old Des Peres Rd, Saint Louis, MO 63131-1865 |
| Trevor M Vaughn | Anesthesiology | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Lynn A Whitmer | Anesthesiology | Metro-west Anesthesia Group Inc | 12266 Depaul Drive, Suite 10, Bridgeton, MO 63044-2514 |
| Eva C Schulte | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Julie Roach | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Christopher Hamlin | Anesthesiology | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Kelsey E Westbrook | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Alicia M Ferguson | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Megan C Mccarthy | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Street Address |
100 MEDICAL PLZ |
| City | LAKE SAINT LOUIS |
| State | MO |
| Zip | 63367-1366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peyman Benharash | Cardiac Surgery | The Regents of The University of California | 100 Medical Plz, Suite 630, Los Angeles, CA 90095-6997 |
| Inna Keselman | Neurology | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| Andrew Jeremiah Levine | Psychologist, Clinical | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| Victoria Lynn Hines | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Antoinette S Gomes | Interventional Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Denise R Aberle | Diagnostic Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Patrick D Farrell | Family Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Charles C Flippen II | Neurology | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| Leif A Havton | Neurology | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| Nagesh Ragavendra | Diagnostic Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Sills Powell | Podiatry | 1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367-1322 | |
| Gregory Dewitt Folkert | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Akiko Okabe | Nurse Practitioner | Southeastern Physician Services PC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Kathleen H Kidd | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Vincent Lawrence Boston | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Justin Rapoff | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Sebastian Puig | Internal Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Stephanie J Sellner | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Lizzy A Taylor | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Audrey Anne Bolden | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Find all physicians in zip 63367 | |||
| City | LAKE SAINT LOUIS |
| Zip Code | 63367 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LAKE SAINT LOUIS + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on John Long.
| 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.