Joseph M Long (NPI# 1801978911, PAC ID# 4880719541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1801978911 |
| PAC ID by PECOS | 4880719541 |
| Professional Enrollment ID | I20100917000739 |
| Full Name | Joseph M Long |
| Organization Legal Name | VPA PC |
| Address |
5838 W Brick Rd South Bend IN 46628-8420 |
| Phone Number | 5742471911 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | FAMILY PRACTICE |
| Group Practice PAC ID | 9234041948 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 5838 W Brick Rd, South Bend, IN 46628-8420 | 5742471911 | VPA PC |
| 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 | 5742471911 | VPA PC |
| Organization Legal Name | VPA PC |
| Physicians | 188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darshana Chadda Dettmer | Internal Medicine | Vpa PC | 606 Oakesdale Ave Sw, Suite C200, Renton, WA 98057-5227 |
| Sherrilyn W Lorenz | Nurse Practitioner | Vpa PC | 2725 Airview Blvd, Suite 105, Portage, MI 49002-1800 |
| Lizeht Monarrez | Nurse Practitioner | Vpa PC | 2 Transam Plaza Dr, Suite 410, Oakbrook Terrace, IL 60181-4290 |
| Christine Boven | Nurse Practitioner | Vpa PC | 1484 Straits Dr, Suite 5, Bay City, MI 48706-8705 |
| Maryann Matthews | Nurse Practitioner | Vpa PC | 7350 Industrial Pkwy, Mentor, OH 44060-5318 |
| Philip B Augustine | Internal Medicine | Vpa PC | 9393 W 110th St, Suite 500, Overland Park, KS 66210-1464 |
| Shihab Rabh | Family Medicine | Vpa PC | 2205 Jolly Rd A, Okemos, MI 48864-3983 |
| Jamie H Stone | Internal Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Alla Khekhoyeva | Nurse Practitioner | Vpa PC | 4435 Aicholtz Rd, Suite 200, Cincinnati, OH 45245-1690 |
| Varinia Urday Gamalski | Internal Medicine | Vpa PC | 21540 W 11 Mile Rd, Suite 200, Southfield, MI 48076-3843 |
| Street Address |
5838 W BRICK RD |
| City | SOUTH BEND |
| State | IN |
| Zip | 46628-8420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie H Stone | Internal Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Stephanie K Kertes | Nurse Practitioner | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Stephen D Kennedy | Family Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Russell M Miller | Geriatric Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen Jarrett | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Susan M Brock | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Flora Mashibe | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Kevin W Kaurich | Chiropractic | 21421 Cleveland Rd, South Bend, IN 46628-3507 | |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Travis W Casper | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Adeela Alizai | Ophthalmology | 2235 Cleveland Rd, South Bend, IN 46628-3529 | |
| Arif Goreja | Nephrology | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Leah D Craft | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Syed Mohsan Rizvi | Nephrology | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Find all physicians in zip 46628 | |||
| City | SOUTH BEND |
| Zip Code | 46628 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | SOUTH BEND + PHYSICAL MEDICINE AND REHABILITATION |
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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.