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
Get Directions

DR. Mary Ann Long, M.D. is a multi specialty in Morgantown, WV with 23 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
1	207Q00000X	Family Medicine		21188	WEST VIRGINIA	No
2	193200000X	Multi-Specialty		21188	WEST VIRGINIA	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	I07371	MEDICARE UPIN	WEST VIRGINIA
2	LO4134171	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
3	3810000059	MEDICAID	WEST 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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »