Gordon David Long (NPI# 1487769766, PAC ID# 6103929633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487769766 |
| PAC ID by PECOS | 6103929633 |
| Professional Enrollment ID | I20070321000195 |
| Full Name | Gordon David Long |
| Organization Legal Name | NORTH CENTRAL OHIO FAMILY CARE CENTER, INC |
| Address |
2981 W 4th St Ontario OH 44906-1267 |
| Phone Number | 4194680505 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274437082 |
| Number of Group Practice Members | 153 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360365 | AVITA ONTARIO |
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 361324 | OHIOHEALTH SHELBY HOSPITAL |
| 360180 | CLEVELAND CLINIC |
| 361325 | GALION COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2981 W 4th St, Ontario, OH 44906-1267 | 4194680505 | NORTH CENTRAL OHIO FAMILY CARE CENTER, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 95% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 94% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 75% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 62% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | NORTH CENTRAL OHIO FAMILY CARE CENTER, INC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendoline Fang | Obstetrics/gynecology | North Central Ohio Family Care Center, Inc | 1200 State Route 598, Galion, OH 44833-9367 |
| Julie Elizabeth Burkhart | Nurse Practitioner | North Central Ohio Family Care Center, Inc | 715 Richland Mall, Ontario, OH 44906-3802 |
| David Sean Fitch | Physical Medicine and Rehabilitation | North Central Ohio Family Care Center, Inc | 140 Hill St B, Bucyrus, OH 44820-1566 |
| Chasity Moton | Nurse Practitioner | North Central Ohio Family Care Center, Inc | 959 Hopley Ave, Bucyrus, OH 44820-3506 |
| Jacob L Kessler | Nurse Practitioner | North Central Ohio Family Care Center, Inc | 800 Portland Way N, Galion, OH 44833-1197 |
| Melodie L Fagan | Nurse Practitioner | North Central Ohio Family Care Center, Inc | 629 N Sandusky Ave, Bucyrus, OH 44820-1821 |
| Sarah E Metzger | Family Medicine | North Central Ohio Family Care Center, Inc | 385 N Seltzer St, Crestline, OH 44827-1400 |
| Sonya M Miller | Physician Assistant | North Central Ohio Family Care Center, Inc | 2148 W 4th St, Ontario, OH 44906-1200 |
| Ryan S Wagner | Family Medicine | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| David G Stainbrook Jr. | Rheumatology | North Central Ohio Family Care Center, Inc | 124 Hill St, Bucyrus, OH 44820-1511 |
| Street Address |
2981 W 4TH ST |
| City | ONTARIO |
| State | OH |
| Zip | 44906-1267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan S Wagner | Family Medicine | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| James A Goudy | Internal Medicine | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| John S Nirmalnath | Internal Medicine | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| Teresa H Ghazoul | Plastic and Reconstructive Surgery | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| Vladimir Fabian | Hospitalist | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| Joseph Mayo | Cardiovascular Disease (cardiology) | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| Annemarie B Clark | Obstetrics/gynecology | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| Scott Foster | Orthopedic Surgery | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| David M Graham | Certified Registered Nurse Anesthetist (crna) | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| Larry S Leone | Family Medicine | North Central Ohio Family Care Center, Inc | 2981 W 4th St, Ontario, OH 44906-1267 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William P Sinnott | Physician Assistant | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Trish A Trubachik | Nurse Practitioner | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Kelly Y Osborne | Physician Assistant | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Jason K Durose | Physician Assistant | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Amity L Arnold | Physician Assistant | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Lawrence Euphoria Turton | Emergency Medicine | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Kayla M Gardner | Physician Assistant | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Megan A Crowley | Nurse Practitioner | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Denver A Russell | Physician Assistant | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Lawrence A Pabst | Orthopedic Surgery | North Central Ohio Family Care Center, Inc | 426 Shelby Ontario Rd, Ontario, OH 44906-1030 |
| Find all physicians in zip 44906 | |||
| City | ONTARIO |
| Zip Code | 44906 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ONTARIO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gordon David 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.