Nicholas Ike Long (NPI# 1629512645, PAC ID# 3476834599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629512645 |
| PAC ID by PECOS | 3476834599 |
| Professional Enrollment ID | I20170104001561 |
| Full Name | Nicholas Ike Long |
| Organization Legal Name | CENTRAL INDIANA ORTHOPEDICS PC |
| Address |
2610 Enterprise Dr Anderson IN 46013-9684 |
| Phone Number | 7656834400 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5698667822 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
| 150181 | ST VINCENT FISHERS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 2610 Enterprise Dr, Anderson, IN 46013-9684 | 7656834400 | CENTRAL INDIANA ORTHOPEDICS PC |
| 1331 S A St, Elwood, IN 46036-1942 | ST VINCENT MEDICAL GROUP INC | |
| 8402 Harcourt Rd, Indianapolis, IN 46260-2056 | ST VINCENT MEDICAL GROUP INC | |
| 1389 N Baldwin Ave, Marion, IN 46952-1913 | 7656642671 | CENTRAL INDIANA ORTHOPEDICS PC |
| 3600 W Bethel Ave, Muncie, IN 47304-5407 | 7652847738 | CENTRAL INDIANA ORTHOPEDICS PC |
| Organization Legal Name | CENTRAL INDIANA ORTHOPEDICS PC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian E Camilleri | Orthopedic Surgery | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Jennifer R Hite | Nurse Practitioner | Central Indiana Orthopedics PC | 1389 N Baldwin Ave, Marion, IN 46952-1913 |
| Sheri S Bennett | Nurse Practitioner | Central Indiana Orthopedics PC | 3600 W Bethel Ave, Muncie, IN 47304-5407 |
| William M Roper | Orthopedic Surgery | Central Indiana Orthopedics PC | 13914 Southeastern Pkwy, Suite 304, Fishers, IN 46037-7126 |
| William L Hall | Interventional Pain Management | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Joseph G Jerman | Orthopedic Surgery | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Ryan D Cieply | Orthopedic Surgery | Central Indiana Orthopedics PC | 3600 W Bethel Ave, Muncie, IN 47304-5407 |
| Joseph C Duncan | Orthopedic Surgery | Central Indiana Orthopedics PC | 1389 N Baldwin Ave, Marion, IN 46952-1913 |
| Karissa N Carpenter | Physician Assistant | Central Indiana Orthopedics PC | 3600 W Bethel Ave, Muncie, IN 47304-5407 |
| Laurel D Fauquher | Physician Assistant | Central Indiana Orthopedics PC | 3600 W Bethel Ave, Muncie, IN 47304-5407 |
| Street Address |
2610 ENTERPRISE DR |
| City | ANDERSON |
| State | IN |
| Zip | 46013-9684 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian E Camilleri | Orthopedic Surgery | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| William L Hall | Interventional Pain Management | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Joseph G Jerman | Orthopedic Surgery | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Briana M King | Nurse Practitioner | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Brian Donald Graner | Diagnostic Radiology | Indiana University Radiology Associates Inc | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Kile J Carter | Family Medicine | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Monica Lynn Stephens | Nurse Practitioner | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Thomas L Salsbury | Orthopedic Surgery | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Nathan A Maertz | Diagnostic Radiology | Indiana University Radiology Associates Inc | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Kenneth H Haller | Family Medicine | Central Indiana Orthopedics PC | 2610 Enterprise Dr, Anderson, IN 46013-9684 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry D Warthman | Optometry | 1923 W 53rd St, Anderson, IN 46013-1109 | |
| Brett T Krepps | Orthopedic Surgery | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Theresa R Neff | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Ashley Lynne Smith | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Yochana Gavva | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Anne E Conner | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Richard Yomi Aina | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Deena M Heller | Clinical Social Worker | Community Health Network Inc | 3125 S Scatterfield Rd, Suite 200, Anderson, IN 46013-1801 |
| Tabassum Hatimi | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Margaret Malicay | Family Practice | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Find all physicians in zip 46013 | |||
| City | ANDERSON |
| Zip Code | 46013 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ANDERSON + 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.