YUANYUAN LONG (NPI# 1588751523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588751523 |
| Entity Type | Individual |
| Full Name | YUANYUAN LONG |
| Credential | MD |
| Practice Address |
4802 E Johnson Ave Jonesboro AR 72401-8413 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709368000 |
| Practice Fax Number | 8709343635 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709343635 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
E-4997 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BL7436581 | 01 |
| Street Address |
4802 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779686 | Paul S Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2005-06-08 |
| 1316546138 | Emily M Allen | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-10-22 |
| 1699387274 | Sarah E Dulaney | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-08-17 |
| 1154965036 | Danny Lee Ricker | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-04 |
| 1679117659 | Ryan Scott Anderson | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-01 |
| 1366086787 | Jennifer L Turnbow | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-10-29 |
| 1487201703 | Mary Daniel Johnson | Dietitian, Registered | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-21 |
| 1285288357 | Kellye P Brown | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-07-28 |
| 1801448592 | Helen F Williams | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-07-12 |
| 1801350285 | Brandy N Herrington | Physician Assistant | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497993745 | David John Marzewski | Psychiatry & Neurology | 1516 County Road 360, Jonesboro, AR 72401-0166 | 2009-01-24 |
| 1972605418 | Syed Sajid Hasan | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2006-09-04 |
| 1164633913 | Rut D. Dholakia | Psychiatry & Neurology | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical, Jonesboro, GA 30236 | 2007-05-24 |
| 1457579492 | Sonal Ramesh Hazariwala | Psychiatry & Neurology | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-04-23 |
| 1154472314 | Cecily Cole Martin | Psychiatry & Neurology | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-01-15 |
| 1801943378 | South Atlanta Neurology & Diagnostics, PC | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2007-01-05 |
| 1841256609 | Bing Behrens | Psychiatry & Neurology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-21 |
| 1720042138 | Kenneth Chan | Psychiatry & Neurology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-13 |
| 1457314577 | Ronald E South | Psychiatry & Neurology | 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 | 2006-04-10 |
| 1043273568 | Mario Cauli | Psychiatry & Neurology | 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 | 2006-04-07 |
| Find all providers in JONESBORO | ||||
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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.