DR. TERESA DIANE LONG (NPI# 1043305592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043305592 |
| Entity Type | Individual |
| Full Name | DR. TERESA DIANE LONG |
| Credential | M.D. |
| Practice Address |
3901 Rainbow Blvd Department of Psychiatry Kansas City KS 66160 |
| Mailing Address |
3901 Rainbow Blvd 4070 Delp Mail Stop 4017 Kansas City KS 66160 |
| Practice Telephone | 9135886464 |
| Practice Fax Number | 9135886414 |
| Mailing Telephone | 9135226464 |
| Mailing Fax Number | 9135886414 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 04-25118 | KS | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
04-25118 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | FIRSTGUARD | 626411 | 01 |
| MO | BCBS KC | 20924044 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825488 | Teresa Nicole Long | Counselor | 1715 N Granville Ave Ste C, Muncie, IN 47303-2149 | 2019-11-15 |
| 1831400969 | Teresa Ann Long | Counselor | 1401 Northern Hills Rd, Norman, OK 73071-3893 | 2010-06-23 |
| 1528284510 | Teresa D Long | Physical Therapist | 1119 Lake Bluff Cir, Louisville, KY 40245-5239 | 2007-04-18 |
| 1417025610 | Teresa Marina Long | Massage Therapist | 4711 State Road 434, Longwood, FL 32779 | 2006-12-04 |
| 1407870207 | Teresa Long | Nurse Practitioner | 404 Fox Hunt Dr, Bear, DE 19701-2538 | 2006-07-26 |
| 1952832693 | Teresa Long | Social Worker | 851 S Willow Ave, #108, Cookeville, TN 38501-4221 | 2017-03-24 |
| 1932454220 | Teresa Ann Long | Registered Nurse | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2012-07-23 |
| 1548577885 | Teresa Kay Long | Registered Nurse | 197 Replacement Ave, Suite 139, Fort Leonard Wood, MO 65473-9089 | 2010-09-08 |
| 1205037827 | Teresa V Long | Day Training/Habilitation Specialist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-05-30 |
| 1104844406 | Teresa Charl Long | Preventive Medicine | 240 Parsons Ave, Columbus, OH 43215-5331 | 2006-07-17 |
| Street Address |
3901 RAINBOW BLVD DEPARTMENT OF PSYCHIATRY |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567384 | Larry Donald Cordell | Orthopaedic Surgery | 3901 Rainbow Blvd, Ms 3017, Kansas City, KS 66160 | 2005-06-09 |
| 1386243368 | University of Kansas Hospital Authority | Clinic/Center | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-10-21 |
| 1043825532 | Manan Karki | Anesthesiology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-09-10 |
| 1245843887 | May Alorainy | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-24 |
| 1205447158 | Akshaya Prabhakaran Sduha | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-13 |
| 1205446622 | Syed Muhammad Abbas Hussain | Psychiatry & Neurology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-01 |
| 1265059505 | Bradley Michael Coomes | Nurse Anesthetist, Certified Registered | 3901 Rainbow Blvd, Department of Anesthesiology 2037 Delp, Kansas City, KS 66160 | 2020-07-02 |
| 1063039519 | Cassie Lynn Joly | Nurse Practitioner | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-07-01 |
| 1225654478 | Frederico Augusto Duarte Villa-chan Filho | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-24 |
| 1881219954 | Anand Dharia | Neurological Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1548795990 | Karajo Sprigg | Internal Medicine | 4330 Wornall Rd Ste 65, Kansas City, MO 64111-3201 | 2017-04-24 |
| 1396195194 | Brandon Carlisle | Internal Medicine | 4000 Cambridge St # Ms 1020, Kansas City, KS 66160 | 2016-06-13 |
| 1174972368 | Michael Joseph Freitag | Internal Medicine | 3901 Rainbow Blvd, Ms 2027, Kumc Imresidency Program, Kansas City, KS 66160-0001 | 2016-06-08 |
| 1609224880 | Sara Ann Stewart | Internal Medicine | Kumc Imresidency Program, 3901 Rainbow Blvd, Ms 2027, Kansas City, KS 66160-0001 | 2016-05-29 |
| 1730537994 | Gregg Werner | Internal Medicine | Kumc Imresidency Program 3901 Rainbow Blvd Ms 2027, Kansas City, KS 66160-0001 | 2016-05-28 |
| 1730534520 | Larry Mathias IIi | Internal Medicine | 7602 Pennsylvania Ave, Kansas City, MO 64114-1736 | 2016-04-28 |
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
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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.