STEPHEN LAYNE LONG MD NPI 1821012089

NPI Information

NPI: 1821012089
Provider Name: STEPHEN LAYNE LONG, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
437 DENISON ST
CONWAY, AR
ZIP 72034
Phone: (501) 327-1325
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Stephen Layne Long, MD is a general practice in Conway, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Stephen Layne Long, MD NPI is 1821012089. 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:

437 DENISON ST
CONWAY, AR
ZIP 72034-127
Phone: (501) 327-1325
Fax: (501) 327-1328

The enumeration date for this NPI number is 7/27/2006 and was last updated on 12/3/2012.

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	2083X0100X	Preventive Medicine	Occupational Medicine	C5423	ARKANSAS	No
2	208D00000X	General Practice		C5423	ARKANSAS	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	C68683	MEDICARE UPIN
2	101307001	MEDICAID	ARKANSAS
3	53201	MEDICARE PIN

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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