KEVIN CARL LONG (NPI# 1215164447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215164447 |
| Entity Type | Individual |
| Full Name | KEVIN CARL LONG |
| Credential | MD |
| Practice Address |
100 North Academy Ave Mc 21-69 Danville PA 17822 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702716361 |
| Practice Fax Number | 5702718324 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MD455224 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114022100 | Kevin L. Long | Chiropractor | 3141 Columbia Ave, Lancaster, PA 17603-4012 | 2006-09-14 |
| 1992759740 | Kevin R. Long | Nurse Practitioner | 1824 King St Ste 300, Jacksonville, FL 32204 | 2006-05-19 |
| 1205440708 | Kevin Long | Physical Therapist | 1301 E Bidwell St Ste 201, Folsom, CA 95630-3565 | 2020-09-02 |
| 1497254494 | Kevin Long | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-02-05 |
| 1689747776 | Kevin Brandon Long | Pathology | 1124 Columbia St, Suite 200, Seattle, WA 98104-2026 | 2006-11-16 |
| 1912096306 | Kevin R Long | Specialist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-10-12 |
| Street Address |
100 NORTH ACADEMY AVE MC 21-69 |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022858 | Charles Nicholas Burns Jr. | Specialist | 100 North Academy Ave, Danville, PA 17822-4903 | 2005-09-09 |
| 1689045684 | Shivam Mital | Hospitalist | 100 North Academy Ave, Danville, PA 17822-4903 | 2015-10-15 |
| 1609250596 | Umair Iqbal | Hospitalist | 100 North Academy Ave, Danville, PA 17822 | 2015-07-10 |
| 1841689601 | Joseph Thomas | Registered Nurse | 100 North Academy Ave, Danville, PA 17822-2025 | 2015-01-16 |
| 1588070346 | Olatunde Bosu | Family Medicine | 100 North Academy Ave, Danville, PA 17822 | 2014-07-01 |
| 1871904862 | Irfan Ahsan | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-2019 | 2014-05-13 |
| 1144665977 | Michelle Cornacchia | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-1401 | 2013-05-07 |
| 1104168533 | Christopher James Whiting | Psychiatry & Neurology | 100 North Academy Ave, Danville, PA 17822-1405 | 2013-03-24 |
| 1407101991 | Arsalan Rafiq | Internal Medicine | 100 North Academy Ave, Danville, PA 17822 | 2012-07-20 |
| 1396090940 | Rafael Antonio Ching Companioni | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-2111 | 2012-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548228919 | Geisinger Clinic Dv Gen Surg | Colon & Rectal Surgery | 100 N Academy Ave, Danville, PA 17822 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508050394 | Jennifer Ann Mcquade | Colon & Rectal Surgery | 145 W 23rd St Ste 201, Erie, PA 16502-2858 | 2007-09-05 |
| 1841328309 | Kristen L Halm | Colon & Rectal Surgery | 1255 S Cedar Crest Blvd Ste 3900, Allentown, PA 18103-6250 | 2007-02-28 |
| 1962426684 | Thomas Michael Mazza | Colon & Rectal Surgery | 3907 N Front St, Harrisburg, PA 17110 | 2006-07-26 |
| 1548215296 | Rectal and Colon Surgery Inc | Colon & Rectal Surgery | 3216 State St, Erie, PA 16508-2822 | 2006-05-23 |
| 1447218557 | Lowell D Meyerson | Colon & Rectal Surgery | 50 E Township Line Rd, Ste 226, Elkins Park, PA 19027 | 2006-05-01 |
| 1992782254 | Pricha Boonswang | Colon & Rectal Surgery | 2358 Gruver Ave, Easton, PA 18045-2808 | 2005-12-28 |
| 1922081785 | Thomas J Nicholson | Colon & Rectal Surgery | 1703 Innovation Dr Ste 3136, York, PA 17408-8815 | 2005-11-25 |
| 1922094440 | Edward J Glennon | Colon & Rectal Surgery | 300 State St Ste 401, Erie, PA 16507-1438 | 2005-09-20 |
| 1326048901 | Allegheny Clinic | Colon & Rectal Surgery | 320 E North Ave Ste 261, Pittsburgh, PA 15212-4756 | 2005-07-26 |
| 1043219363 | Bradley A Levinson | Colon & Rectal Surgery | 105 Brandt Dr, Suite 202, Cranberry Twp, PA 16066-6437 | 2005-07-19 |
| Find all providers with the same taxonomy | ||||
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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.