DR. MARY ANN LONG M.D. NPI 1679685150

NPI Information

  • NPI: 1679685150
  • Provider Name: DR. MARY ANN LONG, M.D.
  • Classification: Multi-Specialty - 193200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 MEDICAL CENTER DRIVE
    MORGANTOWN, WV
    ZIP 26506
  • Phone: (304) 598-6900

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NPI Details

DR. Mary Ann Long, M.D. is a multi specialty in Morgantown, WV with 25 years of experience. The provider is a business group of one or more individual practitioners, who practice with different areas of specialization. DR. Mary Ann Long, M.D. NPI is 1679685150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV
ZIP 26506
Phone: (304) 598-6900
Fax: (304) 598-6914

The NPI 1679685150 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 8/31/2006 and was last updated on 9/22/2015.

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
1207Q00000XFamily Medicine21188WEST VIRGINIANo
2193200000XMulti-Specialty21188WEST VIRGINIAYes

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
1I07371MEDICARE UPINWEST VIRGINIA
2LO4134171MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
33810000059MEDICAIDWEST VIRGINIA

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: 11/21/2025

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