GEORIE MELISSA F. LONG (NPI# 1316255631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316255631 |
Entity Type | Individual |
Full Name | GEORIE MELISSA F. LONG |
Credential | PA-C |
Practice Address |
107 Institute St Jamestown NY 14701-6628 |
Mailing Address |
2 W Crescent Park Warren PA 16365-2111 |
Practice Telephone | 7164844334 |
Practice Fax Number | 7164844335 |
Mailing Telephone | 8147230407 |
Mailing Fax Number | 8147238784 |
Enumeration Date | 2010-09-21 |
Last Update Date | 2019-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
020834 | NY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054921 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
107 INSTITUTE ST |
City | JAMESTOWN |
State | NY |
Zip Code | 14701-6628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164448031 | Nicole Pitts | Social Worker | 107 Institute St, Jamestown, NY 14701-6628 | 2006-07-14 |
1588270573 | The Chautauqua Center, Inc | Pharmacy | 107 Institute St, Jamestown, NY 14701-6628 | 2020-09-16 |
1821606237 | Clinton T George | Nurse Practitioner | 107 Institute St, Jamestown, NY 14701-6628 | 2020-07-22 |
1114568391 | Rebecca Carlson | Social Worker | 107 Institute St, Jamestown, NY 14701-6628 | 2019-09-30 |
1861054330 | Richard Smith | Nurse Practitioner | 107 Institute St, Jamestown, NY 14701-6628 | 2019-07-03 |
1174098206 | Stephanie Michelle Singer | Social Worker | 107 Institute St, Jamestown, NY 14701-6628 | 2018-10-04 |
1164978367 | Nicole Hinderleider | Nurse Practitioner | 107 Institute St, Jamestown, NY 14701-6628 | 2016-08-28 |
1780138222 | Erin E. Pender | Dentist | 107 Institute St, Jamestown, NY 14701-6628 | 2016-08-13 |
1801281753 | Veronica Mack | Social Worker | 107 Institute St, Jamestown, NY 14701-6628 | 2015-03-30 |
1003213992 | Alicia Snow | Physician Assistant | 107 Institute St, Jamestown, NY 14701-6628 | 2014-11-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
Find all providers in zip 14701 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831176114 | Connie S Scarpine | Physician Assistant | 152 Foote Ave, Jamestown, NY 14701 | 2005-12-28 |
1184615163 | Chad Chitester | Physician Assistant | 320 Prather Avenue Suite 100 & Suite 200, Jamestown, NY 14701-2514 | 2005-10-31 |
1790095735 | Julie Michele Coppersmith | Physician Assistant | 152 Foote Avenue, Jamestown, NY 14701 | 2010-10-08 |
1306157326 | Chelsey Michele Gray | Physician Assistant | 17 Sherman St, Suite 2100, Jamestown, NY 14701-7080 | 2010-06-24 |
1881786598 | Eileen M Smith | Physician Assistant | 15 S Main St, Suite 150, Jamestown, NY 14701-6626 | 2006-09-29 |
1851319446 | Bertha V Murphy | Physician Assistant | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2006-07-18 |
1619922531 | Marjorie K Triebold | Physician Assistant | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-05-23 |
1124019948 | Jacquelyn Peterson | Physician Assistant | 320 Prather Ave, Jamestown, NY 14701-6820 | 2005-11-01 |
1982695839 | Metivia Anne Whitmore | Physician Assistant | 42 Dunham Ave, Jamestown, NY 14701-2514 | 2005-10-31 |
1245221225 | Wendy Omalley | Physician Assistant | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2005-10-31 |
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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.