Keith Delong (NPI# 1629406863, PAC ID# 7113155318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629406863 |
| PAC ID by PECOS | 7113155318 |
| Professional Enrollment ID | I20140115001227 |
| Full Name | Keith Delong |
| Organization Legal Name | TAKE CARE HEALTH OHIO, INC. |
| Address |
5555 New Albany E Rd New Albany OH 43054-7017 |
| Phone Number | 8559254733 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254420961 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360017 | GRANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5555 New Albany E Rd, New Albany, OH 43054-7017 | 8559254733 | TAKE CARE HEALTH OHIO, INC. |
| 110 Polaris Pkwy, Suite 250, Westerville, OH 43082-8007 | 6148654800 | POLARIS PARKWAY INTERNAL MEDICINE AND PEDIATRICS LTD |
| Organization Legal Name | TAKE CARE HEALTH OHIO, INC. |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla A Bubonics | Nurse Practitioner | Take Care Health Ohio, Inc. | 127 E Pleasant Valley Rd, Seven Hills, OH 44131-5601 |
| Jennifer L Williams | Nurse Practitioner | Take Care Health Ohio, Inc. | 5555 New Albany E Rd, New Albany, OH 43054-7017 |
| Jody Lynn Harr-holter | Nurse Practitioner | Take Care Health Ohio, Inc. | 7900 E Broad St, Blacklick, OH 43004-8240 |
| Elizabeth A Wiener | Nurse Practitioner | Take Care Health Ohio, Inc. | 2150 E Dublin Granville Rd, Columbus, OH 43229-3513 |
| Katie M Heising | Nurse Practitioner | Take Care Health Ohio, Inc. | 9400 Mentor Ave, Mentor, OH 44060-4520 |
| Chelsea Harris | Nurse Practitioner | Take Care Health Ohio, Inc. | 5690 W Broad St, Galloway, OH 43119-8127 |
| Stephanie Calhoun | Nurse Practitioner | Take Care Health Ohio, Inc. | 2320 Boudinot Rd, Cincinnati, OH 45238 |
| Rajene Gerette Fox | Nurse Practitioner | Take Care Health Ohio, Inc. | 764 Hebron Rd, Heath, OH 43056-1354 |
| Daniel Gallagher | Nurse Practitioner | Take Care Health Ohio, Inc. | 12110 Lebanon Rd, Sharonville, OH 45241-1739 |
| Julie M Morse | Nurse Practitioner | Take Care Health Ohio, Inc. | 5411 Leavitt Rd, Lorain, OH 44053-2155 |
| Street Address |
5555 NEW ALBANY E RD |
| City | NEW ALBANY |
| State | OH |
| Zip | 43054-7017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Williams | Nurse Practitioner | Take Care Health Ohio, Inc. | 5555 New Albany E Rd, New Albany, OH 43054-7017 |
| Jessica N Smallenbarger | Nurse Practitioner | Take Care Health Ohio, Inc. | 5555 New Albany E Rd, New Albany, OH 43054-7017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Leigh Hendren | Nurse Practitioner | Ohiohealth Corporation | 5868 N Hamilton Rd, Suite 200, New Albany, OH 43054 |
| Todd Edwin Whitaker | Ophthalmology | Northwest Eye Surgeons Inc. | 85 E Main St, New Albany, OH 43054-0509 |
| Diana Lyn Harless | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Andrea D Thompson | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Tamara K Slicer | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Stephen M Canowitz | Pediatric Medicine | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Amanda R Esch | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Misti D Holland | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Nicole D Shroyer | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Melinda K Everman-moore | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Find all physicians in zip 43054 | |||
| City | NEW ALBANY |
| Zip Code | 43054 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW ALBANY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Keith Delong.
| 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.