DR. RAISA LONG (NPI# 1578961140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578961140 |
| Entity Type | Individual |
| Full Name | DR. RAISA LONG |
| Credential | D.C. |
| Practice Address |
1401 Doug Baker Blvd # 107-178 Birmingham AL 35242-4974 |
| Mailing Address |
1401 Doug Baker Blvd Ste 107-178 Birmingham AL 35242-4974 |
| Practice Telephone | 2057379255 |
| Practice Fax Number | 2057379258 |
| Mailing Telephone | 2057379255 |
| Mailing Fax Number | 2057379258 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2450 | AL | Chiropractic Providers |
| Street Address |
1401 DOUG BAKER BLVD # 107-178 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-4974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1356971816 | Daniel Oquinn II | Chiropractor | 215 Narrows Pkwy Ste A, Birmingham, AL 35242-8623 | 2020-01-23 |
| 1205476330 | Austin Hyer Webster | Chiropractor | 725 S Adams Rd Ste 198, Birmingham, MI 48009-6992 | 2020-01-07 |
| 1821637133 | James J Dwan Dc, Pllc | Chiropractor | 2151 E 14 Mile Rd Ste 200, Birmingham, MI 48009-7260 | 2020-01-03 |
| 1982245551 | Health Star North Inc | Chiropractor | 3419 Colonnade Pkwy Ste 500, Birmingham, AL 35243-3227 | 2019-10-03 |
| 1144883000 | Forge Chiropractic LLC | Chiropractor | 5424 1st Ave N, Birmingham, AL 35212-2404 | 2019-04-17 |
| 1487156477 | Pinnacle Health Center, Inc | Chiropractor | 1715 11th Ave S Ste B, Birmingham, AL 35205-4704 | 2018-03-06 |
| 1295236073 | Raymond Knorr | Chiropractor | 2413 2nd Ave S, Ste 100, Birmingham, AL 35233 | 2018-02-26 |
| 1730539842 | Marcus S Williams | Chiropractor | 2025 Old Montgomery Hwy, Birmingham, AL 35244-1606 | 2016-06-20 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on DR. RAISA LONG.
| 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.