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DR. GEORGE MADISON LONG DPM NPI 1497748628


NPI Information

NPI: 1497748628
Provider Name: DR. GEORGE MADISON LONG, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
2401 GODWIN BLVD
STE 1
SUFFOLK, VA
ZIP 23434
Phone: (757) 539-2098
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DR. George Madison Long, DPM is a podiatrist in Suffolk, VA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. George Madison Long, DPM NPI is 1497748628. 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:

2401 GODWIN BLVD
STE 1
SUFFOLK, VA
ZIP 23434-178
Phone: (757) 539-2098
Fax: (757) 539-5188

The enumeration date for this NPI number is 8/23/2005 and was last updated on 11/20/2007.


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
1213E00000XPodiatrist0103000593VIRGINIAYes

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 Other Provider Identifier Issuer
1U24373MEDICARE UPIN
2009301879MEDICAIDVIRGINIA
3480000031MEDICARE PINVIRGINIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.