DOUGLAS M. LONG (NPI# 1255368528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255368528 |
| Entity Type | Individual |
| Full Name | DOUGLAS M. LONG |
| Credential | M.D. |
| Practice Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 4143523100 |
| Practice Fax Number | 4142474597 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2010-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 39703 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32443200 | 05 | |
| WI | RR MEDICARE | P00449642 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689049702 | Douglas William Long | Nurse Practitioner | 403 W Oak St Ste 100, El Dorado, AR 71730-4573 | 2015-12-01 |
| 1720121619 | Douglas Jess Long | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2007-02-14 |
| 1164499547 | Douglas L Long | Chiropractor | 4515 Harding Pike, Suite 110, Nashville, TN 37205-2118 | 2006-03-03 |
| 1750731592 | Douglas Moore Long | Psychologist | 593 Eddy St, Potter Building, 2nd Floor, Providence, RI 02903-4923 | 2016-06-13 |
| 1902904006 | Douglas M Long | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-09-20 |
| 1487756763 | Douglas G Long | Family Medicine | 3801 E Highway 98, Er, Port St Joe, FL 32456-5318 | 2006-09-05 |
| 1730290735 | Douglas Frank Long | Physician Assistant | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2006-08-31 |
| 1306872379 | Douglas Long | Pharmacist | 105a Broyles St, Johnson City, TN 37601-2517 | 2006-06-23 |
| 1003865429 | Douglas J Long | Neurological Surgery | 8005 Farnam Dr, Suite 305, Omaha, NE 68114 | 2006-05-10 |
| 1023079837 | Douglas W. Long | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-03-31 |
| Street Address |
3003 W GOOD HOPE RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740296 | Najwa A Beit Shawish | Pediatrics | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2005-06-16 |
| 1326675687 | Christopher James Valenti | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
| 1225665409 | Lisa Schmid | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
| 1356976856 | Kristen Moose | Dietitian, Registered | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-05 |
| 1083273197 | Andrew Wroblewski | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-06-12 |
| 1598222465 | Melissa C Helm | Nurse Practitioner | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-26 |
| 1386109429 | Advocate Aurora Healthcare | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-03 |
| 1316415565 | Ifeanyichukwu H Osude | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-11-06 |
| 1487129011 | Sara Hutchins | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-10-10 |
| 1295210052 | Liana Kerns | Speech-Language Pathologist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
| 1902054406 | Scott Dennis Barnes | Ophthalmology | 1723 E Grange Ave, Milwaukee, WI 53207-6135 | 2008-09-09 |
| 1881619187 | Michael Victor Darnieder | Ophthalmology | 8535 W Capitol Dr, Milwaukee, WI 53222-1826 | 2006-07-13 |
| 1821053109 | Wanda M Martinez Navarro | Ophthalmology | 925 North 87th Street, The Eye Institute, Milwaukee, WI 53226 | 2006-04-19 |
| 1144298027 | Norman E Cohen | Ophthalmology | 735 W Wisconsin Ave, Milwaukee, WI 53233-2413 | 2006-03-08 |
| 1114991890 | Gregory J Griepentrog | Ophthalmology | 925 N 87th St, Medical College Clinics At The Eye Institute, Milwaukee, WI 53226-4812 | 2006-02-17 |
| 1609869858 | Milwaukee Eye Care Associates S.c. | Ophthalmology | 1684 N Prospect Ave, Milwaukee, WI 53202-2408 | 2005-08-23 |
| 1093710741 | Frederick H Reeser | Ophthalmology | 2600 N Mayfair Rd, Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
| 1811992563 | Jonathan M Hershey | Ophthalmology | 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
| 1568466928 | Deborah Costakos | Ophthalmology | 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 | 2005-06-13 |
| Find all providers in MILWAUKEE | ||||
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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.