Diane M Long (NPI# 1174558613, PAC ID# 9032381330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1174558613 |
| PAC ID by PECOS | 9032381330 |
| Professional Enrollment ID | I20111010000559 |
| Full Name | Diane M Long |
| Organization Legal Name | WOMEN'S CARE CENTER OF MEMPHIS, MPLLC |
| Address |
6215 Humphreys Suite 500 Memphis TN 38120-2384 |
| Phone Number | 9016820630 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7012803505 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| Address | Phone | Organization |
|---|---|---|
| 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 | 9016820630 | WOMEN'S CARE CENTER OF MEMPHIS, MPLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% |
| Organization Legal Name | WOMEN'S CARE CENTER OF MEMPHIS, MPLLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Talbot | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Sharon A Butcher | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 1727 Kirby Pkwy, Suite 200, Memphis, TN 38120-8328 |
| Thomas David Greenwell | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120-2382 |
| Thomas H Crenshaw | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Cheston M Reed Jr. | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120-2382 |
| T. Franklin King | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 1727 Kirby Pkwy, Suite 200, Memphis, TN 38120-8328 |
| Dominique M Butawan-ali | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120-2382 |
| Candace D Hinote | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120-2382 |
| Kristal D Taylor | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Regina Gadomski Healy | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 1727 Kirby Pkwy, Suite 200, Memphis, TN 38120-8328 |
| Street Address |
6215 HUMPHREYS SUITE 500 |
| City | MEMPHIS |
| State | TN |
| Zip | 38120-2384 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Talbot | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Thomas H Crenshaw | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Kristal D Taylor | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| George H Peeler | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Albert Kennedy | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Alicia W Wright | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Laura Bishop | Obstetrics/gynecology | Women's Care Center of Memphis, Mpllc | 6215 Humphreys, Suite 500, Memphis, TN 38120-2384 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Nail | Nurse Practitioner | Carl E Flinn M D P C | 773 Estate Place, Memphis, TN 38120-0600 |
| Casandra B Banks | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Rande Harris Lazar | Otolaryngology | 791 Estate Pl, Memphis, TN 38120-0600 | |
| Natalie C Kerr | Ophthalmology | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Alicia M Diaz-thomas | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| John Lott Sandidge | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Marilyn J.d Wark | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Nirbhay Parashar | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Harris L Cohen | Diagnostic Radiology | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Orli M Weisser-pike | Occupational Therapy | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Find all physicians in zip 38120 | |||
| City | MEMPHIS |
| Zip Code | 38120 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MEMPHIS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Diane M 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.