CHARLES W LONG (NPI# 1417482167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417482167 |
Entity Type | Individual |
Full Name | CHARLES W LONG |
Credential | MD |
Practice Address |
230 N Broad St Philadelphia PA 19102-1121 |
Practice Telephone | 7045763356 |
Mailing Telephone | 2157627000 |
Enumeration Date | 2017-05-01 |
Last Update Date | 2019-06-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | MT218772 | PA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
500 S Preston St Rm 305, Louisville, KY 402021702 | 5028528696 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962531954 | Charles Martin Long | Technician/Technologist | 7777 Southwest Fwy Ste 106, Houston, TX 77074-1805 | 2007-03-05 |
1740271337 | Charles Anthony Long | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942 | 2005-11-02 |
1679183727 | Charles Long | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-08-04 |
1780035220 | Charles Laurence Long | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-27 |
1225155237 | Charles A Long | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-03-23 |
1063442028 | Charles Long | Pediatrics | 1205 Marion Ave, Tallahassee, FL 32303-6513 | 2006-07-04 |
1316975949 | Charles Long | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-30 |
1285678441 | Charles A Long | Physical Therapist | 11 N Main St, Gwinner, ND 58040-4001 | 2006-06-16 |
1770527103 | Charles Robert Long | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2006-06-15 |
1033164736 | Charles David Long | Plastic Surgery | 1250 Greenwood Ave, Ste 14, Jenkintown, PA 19046-2902 | 2006-05-23 |
Street Address |
230 N BROAD ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19102-1121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710987854 | Ira R Stark | Radiology | 230 N Broad St, Philadelphia, PA 19102-1121 | 2005-07-29 |
1437793833 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-10-30 |
1780246124 | Danielle Nicole Melisiotis | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-07-06 |
1932761483 | Willaim Jorland Sierraalta | Surgery | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-07-05 |
1427610237 | Mark William Vanderland | Internal Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-07-01 |
1174184386 | Jonathan Maw | Radiology | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-27 |
1013578194 | Christi Gill | Family Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-27 |
1619538162 | Hrisi Gueorguieva | Family Medicine | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-06-25 |
1124689674 | Amir Yusef Abdulhay | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-25 |
1477114940 | Erin Elizabeth Hassel | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
Find all providers in zip 19102 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
1295245694 | Hr Physician Services | Orthopaedic Surgery | 7500 Central Ave Ste 108, Philadelphia, PA 19111-2431 | 2017-10-11 |
1760912372 | Qingwu Kong | Orthopaedic Surgery | 230 N Broad St., Philadelphia, PA 19102 | 2017-06-15 |
1467981647 | Colin Ackerman | Orthopaedic Surgery | 3401 N Broad St Fl 5, Philadelphia, PA 19140-5103 | 2017-06-09 |
1790104578 | Talia Chapman | Orthopaedic Surgery | 1015 Chestnut St Ste 801, Philadelphia, PA 19107-4308 | 2014-04-09 |
1285991091 | Grant H Garcia | Orthopaedic Surgery | 23 S 23rd St Unit 3l, Philadelphia, PA 19103 | 2012-04-18 |
1598053365 | Amrit Singh Khalsa | Orthopaedic Surgery | 3737 Market St Fl 8, Philadelphia, PA 19104-5545 | 2011-07-14 |
1568752392 | Matthew Steven Wilson | Orthopaedic Surgery | 834 Chestnut Street, Suite G-114, The Philadelphia Hand Center, Philadelphia, PA 19107 | 2011-04-13 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19102 |
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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.