DR. ANNE E. LONG (NPI# 1407962723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407962723 |
| Entity Type | Individual |
| Full Name | DR. ANNE E. LONG |
| Credential | M.D. |
| Practice Address |
1111 Medical Center Blvd Suite N406 Marrero LA 70072-3151 |
| Practice Telephone | 5043496400 |
| Practice Fax Number | 5043496407 |
| Mailing Telephone | 5043496400 |
| Mailing Fax Number | 5043496407 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 025664 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1047431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295005692 | Anne Long | Contractor | 28 Sea Spray Dr, Centerport, NY 11721-1633 | 2012-01-03 |
| 1689815177 | Anne Marie Long | Social Worker | 1270 Doris Rd, Auburn Hills, MI 48326-2617 | 2009-03-13 |
| 1356516066 | Anne Irvine Long | Occupational Therapist | 2801 Allison Bonnett Memorial Dr, Hueytown, AL 35023-1859 | 2008-04-23 |
| Street Address |
1111 MEDICAL CENTER BLVD SUITE N406 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336541226 | Dr. Charles J. Ballay II M.d. | Otolaryngology | 1111 Medical Center Blvd, 707 N, Marrero, LA 70072 | 2014-09-23 |
| 1477737914 | Adil Aryaman Fatakia | Otolaryngology | 1111 Medical Center Blvd, N406, Marrero, LA 70072 | 2007-12-19 |
| 1629172358 | Thomas M Irwin Jr. | Otolaryngology | 1111 Medical Center Blvd, Suite N406, Marrero, LA 70072-3151 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352272 | Trahan Medical Corporation | Otolaryngology | 3935 I 49 S Service Rd, Opelousas, LA 70570-0758 | 2020-10-05 |
| 1144834177 | Compassio, LLC | Otolaryngology | 616 S Jahncke Ave, Covington, LA 70433-3719 | 2020-09-08 |
| 1851918486 | Wk Bossier Ent & Allergy Institute | Otolaryngology | 2449 Hospital Dr Ste 440, Bossier City, LA 71111-1918 | 2020-06-30 |
| 1356992119 | Keith F. Desonier, M.d, Apmc | Otolaryngology | 555 Dr Michael Debakey Dr Ste 103, Lake Charles, LA 70601-5700 | 2019-09-24 |
| 1366096950 | Harold Edward Zylicz II | Otolaryngology | 8585 Picardy Ave Ste 210, Baton Rouge, LA 70809-3749 | 2019-07-31 |
| 1477927838 | Smart Sinus and Allergy Louisiana LLC | Otolaryngology | 73100 E Stadium Dr, Covington, LA 70433-1008 | 2015-11-23 |
| 1124445093 | Elizabeth Gardner De Laureal | Otolaryngology | 200 W Esplanade Ave Ste 420, Kenner, LA 70065-2489 | 2014-03-27 |
| 1346680758 | Andrew Matthew Robichaux | Otolaryngology | 17609 Old Jefferson Hwy Ste C, Prairieville, LA 70769 | 2013-06-29 |
| 1184966962 | Rachel Alice Barry | Otolaryngology | 4212 W Congress St Ste 1500, Lafayette, LA 70506 | 2013-03-20 |
| 1568704328 | Jason Trahan | Otolaryngology | 3975 I 49 S Service Rd Ste 236, Opelousas, LA 70570-0776 | 2013-03-20 |
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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.