DR. JEFFREY P. LONG MD NPI 1629177936

NPI Information

NPI: 1629177936
Provider Name: DR. JEFFREY P. LONG, MD
Classification: Radiology - 2085R0203X
Entity Type: Individual

Specialization: Therapeutic Radiology

PECOS Registration: Yes

Address:
8166 MAIN ST
STE 101
HOUMA, LA
ZIP 70360
Phone: (985) 876-9045
Get Directions

DR. Jeffrey P. Long, MD is a therapeutic radiology radiology in Houma, LA with 43 years of experience. DR. Jeffrey P. Long, MD NPI is 1629177936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1981

The provider's business location address is:

8166 MAIN ST
STE 101
HOUMA, LA
ZIP 70360-404
Phone: (985) 876-9045

The NPI 1629177936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 12/28/2011.

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	2085R0001X	Radiology	Radiation Oncology	MD00038248	WASHINGTON	No
2	2085R0203X	Radiology	Therapeutic Radiology	202753	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	1450243	MEDICAID	LOUISIANA
2	A76249	MEDICARE UPIN
3	4N8627290	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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