DENISE J LONG (NPI# 1124039177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124039177 |
| Entity Type | Individual |
| Full Name | DENISE J LONG |
| Other Name | DENISE HORKY |
| Credential | MD |
| Practice Address |
1540 Randolph Ave Saint Paul MN 55105-2535 |
| Mailing Address |
2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 |
| Practice Telephone | 6516998333 |
| Practice Fax Number | 6516999257 |
| Mailing Telephone | 6517721572 |
| Mailing Fax Number | 6517721889 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33578 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 957583900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811456122 | Denise Mercedes Long | Registered Nurse | 21 Ashwood Ter, West Orange, NJ 07052-5901 | 2019-03-16 |
| 1912324617 | Denise Long | Dietitian, Registered | 62 Genesee Park Blvd, Rochester, NY 14611-4047 | 2014-03-20 |
| 1326289083 | Denise Dorothea Long | Surgery | 3633 Albemarle St Nw, Washington, DC 20008-4215 | 2009-03-10 |
| 1508001454 | Denise Long | Occupational Therapist | 54 Paumanake Ave, Babylon, NY 11702-1910 | 2008-12-06 |
| 1316578784 | Denise Michelle Long | Social Worker | 10555 Montgomery Blvd Ne Bldg 2, Albuquerque, NM 87111-3857 | 2020-02-03 |
| 1508367251 | Denise Long | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-02-27 |
| 1467684274 | Denise Long | Nurse Practitioner | 317 S Broadway, Camden, NJ 08103-1209 | 2009-08-12 |
| 1114119534 | Denise Long | Dentist | 3650 Stewart Ave, Wausau, WI 54401-3944 | 2007-08-10 |
| 1386761013 | Denise Ann Long | Counselor | 501 Biltmore Ave Ste G276.10, Asheville, NC 28801-4601 | 2007-03-26 |
| Street Address |
1540 RANDOLPH AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233731 | Amy Loreen Gilbert | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2005-08-31 |
| 1609251628 | Nicole Kwapick | Physician Assistant | 1540 Randolph Ave, Saint Paul, MN 55105 | 2015-07-21 |
| 1053731323 | Aaron Ulland | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2014-04-24 |
| 1073847067 | Sarah Christine Olson | Physician Assistant | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2009-09-24 |
| 1629258348 | Family Healthservices Minnesota, P.a. | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-11-09 |
| 1598983082 | East Metro Family Practice, P.a. | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-04-23 |
| 1366584526 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-02-13 |
| 1427061944 | Alden R Tetlie | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-14 |
| 1336150473 | Steven C Skildum | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-11 |
| 1316953086 | Michelle L Swiglo | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457889420 | Thanh Phung | Family Medicine | 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 | 2017-06-02 |
| 1518338268 | Northstar Professional Services | Family Medicine | 924 Rice St, Saint Paul, MN 55117-4987 | 2015-10-07 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1306287719 | John Gordon Faughnan | Family Medicine | 1660 Stanford Ave, Saint Paul, MN 55105-2038 | 2013-07-13 |
| 1194041277 | Mark William Eaton | Family Medicine | 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 | 2010-04-14 |
| 1326277815 | Branden James Pfefferkorn | Family Medicine | 2004 Ford Pkwy # Ms 35300a, Saint Paul, MN 55116-1931 | 2009-07-07 |
| 1780812651 | James Edward Hougas IIi | Family Medicine | Ump Phalen Village Clinic, 1414 Maryland Ave E, Saint Paul, MN 55106 | 2009-06-30 |
| 1871748509 | Deborah Lee Wexler | Family Medicine | 1573 Selby Ave, Suite 234, Saint Paul, MN 55104-6293 | 2008-11-21 |
| 1124206677 | Family Healthservices Minnesota, P.a. | Family Medicine | 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 | 2008-02-07 |
| 1174703805 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Family Medicine | 1385 Phalen Boulevard, Saint Paul, MN 55106 | 2007-11-09 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
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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.