CHARLES W LONG


Address: 230 N Broad St, Philadelphia, PA 19102-1121
Phone: 7045763356

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 S Preston St Rm 305, Louisville, KY 402021702 5028528696

Other Providers CHARLES LONG

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

Office Location

Street Address 230 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19102-1121

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PHILADELPHIA
Zip Code 19102

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Dataset Information

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.

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