DR. JOHN CHARLES LONG JR. (NPI# 1356351043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356351043 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES LONG JR. |
| Credential | MD |
| Practice Address |
155 N Nova Rd Ormond Beach FL 32174-5138 |
| Practice Telephone | 3866723111 |
| Practice Fax Number | 3866726532 |
| Mailing Telephone | 3866723111 |
| Mailing Fax Number | 3866726532 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME0068137 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134606551 | John Long | Counselor | 908 Ne 4th St Ste 101, Bend, OR 97701-4646 | 2018-07-27 |
| 1932430311 | John Stanley Long | Massage Therapist | 1 River Place 650 West 42nd Street, #714 Informed Touch, New York, NY 10036 | 2010-01-25 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1942458112 | John Hunter Long | Registered Nurse | 7824 N Clarendon Ave, Portland, OR 97203-6026 | 2008-08-30 |
| 1306057773 | John L. Long | Chiropractor | 510 N River St, Seguin, TX 78155-4739 | 2007-05-25 |
| 1629284369 | John Earl Long | Emergency Medicine | 13690 Longs Landing Rd W, Jacksonville, FL 32225-5423 | 2007-05-16 |
| 1982778718 | John Edward Long | Dentist | 1096 Hicks Blvd, Suite 2, Fairfield, OH 45014-2866 | 2006-11-20 |
| 1942212444 | John Norris Long | Dentist | 2550 Kinard St, Newberry, SC 29108-2910 | 2006-08-12 |
| 1063442648 | John J Long | Anesthesiology | 2 Progress Point Pkwy Dept Of, O Fallon, MO 63368-2205 | 2006-07-03 |
| 1386619393 | John D Long | Internal Medicine | 457 Mclaws Cir, Williamsburg, VA 23185-5645 | 2006-02-22 |
| Street Address |
155 N NOVA RD |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861687071 | Associated Dermatologist Pa | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2007-09-11 |
| 1801003496 | Long Dermatology Pa | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912466 | Michael James Suah | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2005-09-13 |
| 1265887152 | Courtney Nicole Bernett | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2016-04-27 |
| 1952630170 | Atlantic Medical Partners, Pl | Dermatology | 1265 W Granada Blvd, Suite 3, Ormond Beach, FL 32174-8111 | 2009-12-17 |
| 1942434964 | Lindsay Mach | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2009-05-05 |
| 1730375700 | Michelle Whiddon Foley | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2007-09-24 |
| 1861687071 | Associated Dermatologist Pa | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2007-09-11 |
| 1801003496 | Long Dermatology Pa | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2007-05-16 |
| 1346462181 | John Christopher Coppola | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2007-05-02 |
| 1790805729 | Reena Sachdev | Dermatology | 305 Clyde Morris Blvd, Suite 150, Ormond Beach, FL 32174 | 2007-03-31 |
| 1326149949 | William Allen Bethea Jr. | Dermatology | 725 W Granada Blvd, Unit 44, Ormond Beach, FL 32174-9435 | 2006-09-26 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.