John C Long Jr. (NPI# 1356351043, PAC ID# 8325136104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1356351043 |
| PAC ID by PECOS | 8325136104 |
| Professional Enrollment ID | I20071112000466 |
| Full Name | John C Long Jr. |
| Address |
155 N Nova Rd Ormond Beach FL 32174-5138 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 155 N Nova Rd, Ormond Beach, FL 32174-5138 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 94% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% |
| Street Address |
155 N NOVA RD |
| City | ORMOND BEACH |
| State | FL |
| Zip | 32174-5138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Van Ost | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Douglas Brian Hill | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Dennis Kee | Physician Assistant | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Therese A Ibrahim | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Zaw Myint | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Teresa Ann Bowers | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Brian Hockensmith | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Maria Gontcharova | Internal Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Mary K Collins | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Ruben D Sierra | Hematology/oncology | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Find all physicians in zip 32174 | |||
| City | ORMOND BEACH |
| Zip Code | 32174 |
| Specialty | DERMATOLOGY |
| City + Specialty | ORMOND BEACH + DERMATOLOGY |
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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.