Jason Long (NPI# 1629207113, PAC ID# 6901045053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1629207113 |
| PAC ID by PECOS | 6901045053 |
| Professional Enrollment ID | I20130620000433 |
| Full Name | Jason Long |
| Organization Legal Name | ALLEGHENY CLINIC RADIOLOGY |
| Address |
905 Black Oak Ct Gibsonia PA 15044-6188 |
| Phone Number | 7246646748 |
| Gender | M |
| Medical School | VIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8426364738 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390050 | ALLEGHENY GENERAL HOSPITAL |
| 390267 | FORBES HOSPITAL |
| 390009 | SAINT VINCENT HOSPITAL |
| 390160 | CANONSBURG GENERAL HOSPITAL |
| 390090 | WEST PENN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Medical Blvd, Canonsburg, PA 15317-9762 | 7247456100 | ALLEGHENY CLINIC RADIOLOGY |
| 232 W 25th St, Erie, PA 16544-0002 | 8144525421 | ALLEGHENY CLINIC RADIOLOGY |
| 905 Black Oak Ct, Gibsonia, PA 15044-6188 | 7246646748 | ALLEGHENY CLINIC RADIOLOGY |
| 2570 Haymaker Rd, Monroeville, PA 15146-3513 | 4128583110 | ALLEGHENY CLINIC RADIOLOGY |
| 2626 Haymaker Rd, Monroeville, PA 15146-3516 | 4123255300 | ALLEGHENY CLINIC RADIOLOGY |
| 320 E N Ave, Pittsburgh, PA 15212-4756 | 4123592459 | ALLEGHENY CLINIC RADIOLOGY |
| 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 4125781890 | ALLEGHENY CLINIC RADIOLOGY |
| Organization Legal Name | ALLEGHENY CLINIC RADIOLOGY |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Efrain R Ochoa Jr. | Diagnostic Radiology | Allegheny Clinic Radiology | 808 Arbordale Ln, Wexford, PA 15090-7438 |
| Zidnia M Conde Colon | Diagnostic Radiology | Allegheny Clinic Radiology | 766 Village Club Dr, Wexford, PA 15090-1539 |
| Robin N Sobolewski | Diagnostic Radiology | Allegheny Clinic Radiology | 408 Wynstone Dr, Wexford, PA 15090-8876 |
| Brendan Thomas Mullen | Diagnostic Radiology | Allegheny Clinic Radiology | 10164 Woodbury Dr, Wexford, PA 15090-9580 |
| Matthew S Hartman | Diagnostic Radiology | Allegheny Clinic Radiology | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 |
| Michael P Spearman | Diagnostic Radiology | Allegheny Clinic Radiology | 103 Searight Dr, Baden, PA 15005-2873 |
| Jeffrey Mueller | Diagnostic Radiology | Allegheny Clinic Radiology | 5003 Northfield Dr, Gibsonia, PA 15044-8003 |
| Eddie Siri Ki Kwan | Diagnostic Radiology | Allegheny Clinic Radiology | 884 Shore Rd, Cape Elizabeth, ME 04107-1511 |
| Paul Karl Aldinger | Diagnostic Radiology | Allegheny Clinic Radiology | 320 E N Ave, Pittsburgh, PA 15212-4756 |
| David G Buck | Interventional Radiology | Allegheny Clinic Radiology | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 |
| Street Address |
905 BLACK OAK CT |
| City | GIBSONIA |
| State | PA |
| Zip | 15044-6188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Paul Braatz | Diagnostic Radiology | Radadvantage A Professional Corporation | 6000 Red Tail Ln, Gibsonia, PA 15044-6046 |
| Samir S Shah | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 6000 Red Tail Ln, Gibsonia, PA 15044-6046 |
| Thomas A Kavic | Diagnostic Radiology | Radadvantage A Professional Corporation | 6000 Red Tail Ln, Gibsonia, PA 15044-6046 |
| Gary L Reck | Optometry | Insight Eye Consultants To Nursing Facilities | 1040 Old Orchard Dr, Gibsonia, PA 15044-6080 |
| Anita Gale Heckert | Optometry | Insight Eye Consultants To Nursing Facilities | 1040 Old Orchard Dr, Gibsonia, PA 15044-6080 |
| Ellen B Wolfe | Optometry | Insight Eye Consultants To Nursing Facilities | 1040 Old Orchard Dr, Gibsonia, PA 15044-6080 |
| Shalini K Vilsack | Optometry | Insight Eye Consultants To Nursing Facilities | 1040 Old Orchard Dr, Gibsonia, PA 15044-6080 |
| Dorna H Javadi | Optometry | Insight Eye Consultants To Nursing Facilities | 1040 Old Orchard Dr, Gibsonia, PA 15044-6080 |
| Darren J Brash | Chiropractic | 4005 Vistavue Dr, Gibsonia, PA 15044-7505 | |
| Jeffrey Mueller | Diagnostic Radiology | Allegheny Clinic Radiology | 5003 Northfield Dr, Gibsonia, PA 15044-8003 |
| Find all physicians in zip 15044 | |||
| City | GIBSONIA |
| Zip Code | 15044 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GIBSONIA + DIAGNOSTIC RADIOLOGY |
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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.