DR. WILLIAM LAWRENCE LONG (NPI# 1457311557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457311557 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LAWRENCE LONG |
| Credential | MD |
| Practice Address |
100 Medical Center Drive Princeton KY 42445-0410 |
| Mailing Address |
Po Box 42 Hopkinsville KY 42441-0042 |
| Practice Telephone | 2703650442 |
| Practice Fax Number | 2703656528 |
| Mailing Telephone | 2708864556 |
| Mailing Fax Number | 2707079650 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
18271 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64182710 | 05 | |
| ACR MEMBERSHIP # | 1786607 | 01 | |
| KY | MEDICAL LICENSE | 18271 | 01 |
| KY | P 64182710 | 05 | |
| RAILROAD MEDICARE | 300117516 | 01 | |
| TN | MEDICAL LICENSE | M05431 | 01 |
| KY | BLUE CROSS/BLUE SHIELD | 000000185273 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901565 | William M Long | Physical Therapist | 14000 Nicollet Ave Ste 200, Burnsville, MN 55337-5796 | 2017-09-12 |
| 1265777221 | William J Long | Pharmacist | 1203 Mechem Dr, Ruidoso, NM 88345-7210 | 2012-12-03 |
| 1952656316 | William Eugene Long | Radiology | 155 Trezevant View Pl, Memphis, TN 38111-4759 | 2012-07-20 |
| 1265721922 | William Wesley Long | Registered Nurse | 10 Lewis Ave, Apartment 12 I, Brooklyn, NY 11206-5933 | 2011-04-04 |
| 1447486980 | William S Long | Podiatrist | 801 Se Main Street, Simpsonville, SC 29681-3226 | 2009-06-10 |
| 1154413094 | William Gould Long | Dentist | 1810 Central Ave, Augusta, GA 30904-5735 | 2006-09-28 |
| 1174622997 | William Frederick Long | Optometrist | 11 Charlestowne Plaza, St Charles, MO 63303 | 2006-09-21 |
| 1598775868 | William Randall Long | Dentist | 9602 E Washington St, Suite C, Indianapolis, IN 46229-4504 | 2006-08-09 |
| 1659327344 | William Sherman Long Jr. | Nurse Anesthetist, Certified Registered | 7900 Rhea Medical Center, Rhea County Hwy, Dayton, TN 37321 | 2006-05-25 |
| 1497708168 | William Trigg Long | Dermatology | 71 Park Avenue, 1a, New York, NY 10016 | 2006-05-17 |
| Street Address |
100 MEDICAL CENTER DRIVE |
| City | PRINCETON |
| State | KY |
| Zip Code | 42445-0410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451962 | Margaret O Cartwright | Speech-Language Pathologist | 414 Stephens Rd., Princeton, KY 42445 | 2020-03-11 |
| 1467878512 | Genesis Health Care | Skilled Nursing Facility | 11524 Dawson Road, Princeton, KY 42445 | 2014-03-13 |
| 1639353741 | Princeton Family Care, Pllc | Nurse Practitioner | 323 C South Jefferson St, Princeton, KY 42445 | 2007-12-26 |
| 1285720979 | Vicki Jean Simms | Pharmacist | 550 U.S. Hwy 62 West, Princeton, KY 42445 | 2006-10-04 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1285648824 | Sylvia Lynn Mccarty | Social Worker | 1350 Hwy 62 West, Princeton, KY 42445 | 2006-07-28 |
| 1497157341 | App of Kentucky Ed, Pllc | Physician Assistant | 100 Medical Center Dr, Princeton, KY 42445 | 2014-09-23 |
| 1902238496 | Luis Felipe Miranda | Dentist | 406 W Washington St, Princeton, KY 42445 | 2013-08-06 |
| 1932309697 | Shandi Lynne Damron | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445 | 2007-07-20 |
| 1851486708 | Caldwell County Hospital Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Princeton, KY 42445 | 2006-10-04 |
| Find all providers in zip 42445 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194914754 | University Orthopaedic Associates LLC | Radiology | 211 N Harrison St, Princeton, NJ 08540-3530 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440272 | Terry D Vito Jr. | Radiology | 149 Whisper Woods Dr, Somerset, KY 42503-9744 | 2020-02-26 |
| 1215165865 | Kurt Alan Reibling | Radiology | 800 Stone Creek Pkwy, Suite 1, Louisville, KY 40223-5366 | 2009-06-22 |
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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.