CATHERINE ANNE LONG M.D. NPI 1306019138

NPI Information

NPI: 1306019138
Provider Name: CATHERINE ANNE LONG, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 498-4200
Get Directions

Catherine Anne Long, M.D. is a pediatric hematology-oncology pediatrics in Green Bay, WI. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Catherine Anne Long, M.D. NPI is 1306019138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301-526
Phone: (920) 498-4200

The NPI 1306019138 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 4/13/2008 and was last updated on 6/11/2015.

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	207R00000X	Internal Medicine		54052-20	WISCONSIN	No
2	208000000X	Pediatrics		54052-20	WISCONSIN	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	54052-20	WISCONSIN	Yes

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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