BENJAMIN S LONG (NPI# 1043731979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043731979 |
| Entity Type | Individual |
| Full Name | BENJAMIN S LONG |
| Credential | MD |
| Practice Address |
1465 E Parkdale Ave Manistee MI 49660-9709 |
| Mailing Address |
4100 Embassy Dr Se Ste 400 Grand Rapids MI 49546-2416 |
| Practice Telephone | 2313981000 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301119307 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411398 | Benjamin Long | Specialist/Technologist | 314 Siltstone Rdg, Brandon, MS 39047-6377 | 2010-02-08 |
| 1356836597 | Benjamin Richard Long | Community Health Worker | 6 Kimball Ln Ste 310, Lynnfield, MA 01940-2680 | 2018-06-29 |
| 1043702392 | Benjamin Daniel Long | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2018-06-02 |
| 1982102885 | Benjamin C Long | Nurse Practitioner | 3105 Mcclelland Blvd., Joplin, MO 64804 | 2018-01-25 |
| 1801276563 | Benjamin Long | Counselor | 540 E 1st St, Waconia, MN 55387 | 2015-06-08 |
| 1710310289 | Benjamin Long | General Practice | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2013-08-19 |
| 1609111012 | Benjamin Reeves Long | Chiropractor | 428 Beecher Rd, Gahanna, OH 43230-4562 | 2012-12-11 |
| 1356496848 | Benjamin E. Long | Social Worker | 725 Yokum St, Elkins, WV 26241-3353 | 2007-01-24 |
| Street Address |
1465 E PARKDALE AVE |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660-9709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709412 | John Raymond Md PC | Radiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2006-06-15 |
| 1922621762 | Lisa Marie Shoemaker | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2020-05-27 |
| 1639715873 | Madison Marie Wisneski | Physician Assistant | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-11-22 |
| 1053874792 | Jesse Leah Keson | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-04-10 |
| 1477030476 | Ecs Lakeshore PC | Anesthesiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-07-23 |
| 1265934673 | Sally Elizabeth Somsel | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660 | 2018-03-01 |
| 1871094466 | Lauren Elizabeth Welsh | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-28 |
| 1518468669 | Annette Sue Hart | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1861993917 | Kristen King | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1598139511 | Northern Lights Radiology P C | Radiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
| Find all providers in zip 49660 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508085275 | Joel Robinson | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2007-04-24 |
| 1952445397 | Krista S Anhalt | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2007-02-19 |
| 1679617013 | Cheryl Dionne | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2007-02-19 |
| 1578607917 | Richard A Scharp | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
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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.