DR. KIM T. LONG (NPI# 1043250194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043250194 |
| Entity Type | Individual |
| Full Name | DR. KIM T. LONG |
| Credential | MD |
| Practice Address |
4011 N 51st Ave Phoenix AZ 85031-2601 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 6233446900 |
| Practice Fax Number | 6233446969 |
| Mailing Telephone | 6024705000 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16770 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 269507 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508146 | Kim Marie Long | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2018-12-04 |
| 1811316862 | Kim Long | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2014-04-07 |
| 1376895664 | Kim Long | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2012-10-10 |
| 1679567358 | Kim O Long | Speech-Language Pathologist | 3160 Central Park W, Toledo, OH 43617-1083 | 2005-09-08 |
| Street Address |
4011 N 51ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578503579 | Hope B. Kurk | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-06-07 |
| 1548764657 | Maricopa County Special Heallth Care District | Clinic/Center | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2018-03-22 |
| 1982082368 | Aleksandra Obradov | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031 | 2015-05-18 |
| 1295154045 | Maricopa County Special Health Care District | General Acute Care Hospital | 4011 N 51st Ave, Phoenix, AZ 85031 | 2014-04-09 |
| 1225466618 | Jose Luis Madera Jr. | Counselor | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2013-10-22 |
| 1245585280 | Vaishali Khetarpal | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2012-07-16 |
| 1043229388 | Mona Khurana | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-08-05 |
| 1932134376 | Arlene R. Karlin | Advanced Practice Midwife | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1033642830 | Sumeet Gill | Pediatrics | 3805 E Bell Rd Ste 5100, Phoenix, AZ 85032-2174 | 2017-04-07 |
| 1639619968 | Pediatrics Kare LLC | Pediatrics | 7611 W Thomas Rd #co64, Phoenix, AZ 85033-5469 | 2017-03-06 |
| 1508300013 | Pediatrics & Family Kare Pllc | Pediatrics | 13229 N 41st Pl, Phoenix, AZ 85032-6709 | 2016-12-19 |
| 1881058931 | Nima Sekhadia | Pediatrics | 16611 S 40th St Ste 160, Phoenix, AZ 85048-0565 | 2016-04-05 |
| 1134580970 | Pleasant Pediatrics | Pediatrics | 2613 W Campbell Ave, Phoenix, AZ 85017-3770 | 2016-03-08 |
| 1174913826 | Arizona Pediatric Pllc | Pediatrics | 22 E Mitchell Dr, Phoenix, AZ 85012-2340 | 2015-02-03 |
| 1316282288 | Robert Fredrick Beauchamp | Pediatrics | 1 E Washington St, Suite 17, Phoenix, AZ 85004-2492 | 2012-12-04 |
| 1558634212 | Vishwabandhu J. Jhaveri | Pediatrics | 8220 N 23rd Ave, Building # 1, Phoenix, AZ 85021-4872 | 2012-02-10 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.