Jeffrey P Long (NPI# 1629177936, PAC ID# 9335146398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1629177936 |
PAC ID by PECOS | 9335146398 |
Professional Enrollment ID | I20090327000345 |
Full Name | Jeffrey P Long |
Organization Legal Name | MARY BIRD PERKINS CANCER CENTER |
Address |
8166 Main St Suite 101 Houma LA 70360-3404 |
Phone Number | 9858769045 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
Graduation Year | 1981 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 4385646280 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190008 | TERREBONNE GENERAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4950 Essen Ln, Baton Rouge, LA 70809-3738 | 2257670847 | MARY BIRD PERKINS CANCER CENTER |
8166 Main St, Suite 101, Houma, LA 70360-3404 | 9858769045 | MARY BIRD PERKINS CANCER CENTER |
Organization Legal Name | MARY BIRD PERKINS CANCER CENTER |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Suchit H Patel | Radiation Oncology | Mary Bird Perkins Cancer Center | 15728 Paul Vega Md Dr, Hammond, LA 70403-1434 |
Gregory William Cotter | Radiation Oncology | Mary Bird Perkins Cancer Center | 133 Jefferson Davis Blvd, Natchez, MS 39120-5103 |
Renee A Levine | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Lane, Baton Rouge, LA 70809-3482 |
Daniel J Bourgeois Iii | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Jingya Wang | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Maurice L King | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Katherine O Castle | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Konstantin A Kovtun | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Sheldon A Johnson | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Gregory Henkelmann | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Street Address |
8166 MAIN ST SUITE 101 |
City | HOUMA |
State | LA |
Zip | 70360-3404 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lingling Du | Hematology/oncology | Physician Practice Partners | 8166 Main St, Suite 102, Houma, LA 70360-3404 |
Gordon Frederick Wadge | Hematology/oncology | Physician Practice Partners | 8166 Main St, Suite 102, Houma, LA 70360-3404 |
David B Lewis | Emergency Medicine | Physician Practice Partners | 8166 Main St, Houma, LA 70360-3404 |
Ryan Michael Coyne | Certified Registered Nurse Anesthetist (crna) | Physician Practice Partners | 8166 Main St, Houma, LA 70360-3404 |
Rose Cuneo | Nurse Practitioner | Physician Practice Partners | 8166 Main St, Houma, LA 70360-3404 |
Willard Dalton Jr. | Pathology | Paeon Health Services Inc | 8166 Main St, Houma, LA 70360-3404 |
Mark E Spence | Certified Registered Nurse Anesthetist (crna) | Physician Practice Partners | 8166 Main St, Houma, LA 70360-3404 |
Bridget M Price | Nurse Practitioner | Physician Practice Partners | 8166 Main St, Houma, LA 70360-3404 |
Jade Dupre Carrere | Nurse Practitioner | Physician Practice Partners | 8166 Main St, Houma, LA 70360-3404 |
Ashley J Prejean | Diagnostic Radiology | Houma Radiology Associates PC | 8166 Main St, Houma, LA 70360-3404 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle F Sonnier | Optometry | 6008 W Main St, Houma, LA 70360-1717 | |
Darrel P Prestenbach | Nurse Practitioner | Alignment Health, LLC | 6472 W Main St, Houma, LA 70360-2265 |
Victor Doval Gonzalez | Psychiatry | 6472 W Main, Houma, LA 70360-2265 | |
Stephany L Hillman | Psychologist, Clinical | 6522 W Main St, Houma, LA 70360-2267 | |
Louis Cloutier | Optometry | 130 Enterprise Dr, Houma, LA 70360-2443 | |
Kerry M Guidry | Chiropractic | Drs Flynn Manceaux A Professional Chiropractic and Physical Therapy Co | 6902 W Main St, Houma, LA 70360-2455 |
Michael Thompson | Chiropractic | Drs Flynn Manceaux A Professional Chiropractic and Physical Therapy Co | 6902 W Main St, Houma, LA 70360-2455 |
Todd N Arcement | Chiropractic | Drs Flynn Manceaux A Professional Chiropractic and Physical Therapy Co | 6902 W Main St, Houma, LA 70360-2455 |
Glenn Manceaux | Physical Therapy | Drs Flynn Manceaux A Professional Chiropractic and Physical Therapy Co | 6902 W Main St, Houma, LA 70360-2455 |
Greg Pizzolato | Chiropractic | Drs Flynn Manceaux A Professional Chiropractic and Physical Therapy Co | 6902 W Main St, Houma, LA 70360-2455 |
Find all physicians in zip 70360 |
City | HOUMA |
Zip Code | 70360 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | HOUMA + RADIATION ONCOLOGY |
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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.