DR. WILLIAM JEFFREY LONG MD NPI 1093718439

NPI Information

NPI: 1093718439
Provider Name: DR. WILLIAM JEFFREY LONG, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
1051 GAUSE BLVD
STE 320
SLIDELL, LA
ZIP 70458
Phone: (985) 726-2655
Get Directions

DR. William Jeffrey Long, MD is a cardiovascular disease internal medicine in Slidell, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. William Jeffrey Long, MD NPI is 1093718439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1051 GAUSE BLVD
STE 320
SLIDELL, LA
ZIP 70458-988
Phone: (985) 726-2655
Fax: (985) 643-9808

The NPI 1093718439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 3/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	7248	NEW HAMPSHIRE	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	017055	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B77213	MEDICARE UPIN
2	09013682	MEDICAID	MISSISSIPPI
3	1389480	MEDICAID	LOUISIANA
4	5J945	MEDICARE PIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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