RAYMOND A LONG (NPI# 1396055299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396055299 |
| Entity Type | Individual |
| Full Name | RAYMOND A LONG |
| Credential | M.D. |
| Practice Address |
341 Racetrack Rd Nw Ste C Fort Walton Beach FL 32547-1788 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 8502268112 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
ME80065 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
75914 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PENDING | 05 | |
| FL | BC/BS | 14J8Y | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701127 | Raymond B. Long | Counselor | Northeast of Bashas', Dilkon, AZ 86047 | 2019-07-02 |
| 1093281834 | Raymond Walter Long I | Counselor | 5016 Noel Polty Blvd., Bethel, AK 99559 | 2018-10-19 |
| Street Address |
341 RACETRACK RD NW STE C |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316445497 | Rebecca Harris | Physician Assistant | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2018-01-24 |
| 1598286684 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1552 | 2017-06-29 |
| 1174914758 | Nolan Mark Renner | Physician Assistant | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2015-02-18 |
| 1205122736 | Pamela James Warner | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205122736 | Pamela James Warner | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183972 | Medical Solutions | Orthopaedic Surgery | 353 Broyles Dr Se, Palm Bay, FL 32909-2355 | 2019-09-13 |
| 1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
| 1467828228 | Transitional Care Medical Associates Inc. | Orthopaedic Surgery | 12989 Southern Blvd, Mod 3, Ste 202, Loxahatchee, FL 33470-9291 | 2015-08-17 |
| 1316243538 | Kevin Patrick O'halloran | Orthopaedic Surgery | 2943 Highway 77, Panama City, FL 32405-4411 | 2011-02-04 |
| 1396074316 | Diplomat Orthopaedic Group, P.a. | Orthopaedic Surgery | 10600 Griffin Road, Suite 104, Cooper City, FL 33328-3208 | 2009-12-22 |
| 1558525733 | John Thomas Riehl | Orthopaedic Surgery | 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 | 2008-07-16 |
| 1386846871 | Lisa R Blackrick | Orthopaedic Surgery | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2007-06-05 |
| 1275734766 | Daniel Bayon Chan | Orthopaedic Surgery | 1150 N 35th Ave Ste 130, Hollywood, FL 33021 | 2007-05-30 |
| 1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
| 1164586293 | Sein Lwin | Orthopaedic Surgery | 300 Se 17 Street, Suite 2r, Fort Lauderdale, FL 33316 | 2006-12-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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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.