B JACK LONGLEY (NPI# 1609835669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609835669 |
| Entity Type | Individual |
| Full Name | B JACK LONGLEY |
| Other Name | BRUCE JACK LONGLEY |
| Credential | MD |
| Practice Address |
451 Junction Rd Madison WI 53717 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082657670 |
| Practice Fax Number | 6082657759 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2009-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
43952 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
451 JUNCTION RD |
| City | MADISON |
| State | WI |
| Zip Code | 53717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517320 | Melinda Kay Rose | Nurse Practitioner | 451 Junction Rd, Madison, WI 53717-2656 | 2005-09-02 |
| 1730714973 | Carly A Cook | Nurse Practitioner | 451 Junction Rd, Madison, WI 53717-2656 | 2020-03-09 |
| 1598314304 | Bethany Garcia | Psychologist | 451 Junction Rd, Madison, WI 53717-2656 | 2019-09-05 |
| 1639726714 | Haley Allison Hunsicker | Social Worker | 451 Junction Rd, Madison, WI 53717-2656 | 2019-08-22 |
| 1649824673 | Kathryn L Sklenar | Physician Assistant | 451 Junction Rd, Madison, WI 53717-2656 | 2019-07-29 |
| 1598329682 | Megan Rose Foss | Registered Nurse | 451 Junction Rd, Madison, WI 53717-2656 | 2019-04-24 |
| 1548726110 | Kathleen Siobhan Mccraw | Psychologist | 451 Junction Rd, Madison, WI 53717-2656 | 2019-02-19 |
| 1376029959 | Briana Beyer | Physician Assistant | 451 Junction Rd, Madison, WI 53717-2656 | 2018-07-17 |
| 1194228809 | Eryn Elizabeth Bresser | Physician Assistant | 451 Junction Rd, Madison, WI 53717-2656 | 2018-03-09 |
| 1790298412 | University of Wisconsin Hospitals and Clinics Authority | Durable Medical Equipment & Medical Supplies | 451 Junction Rd, Madison, WI 53717-2656 | 2017-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730140245 | Andreas Friedl | Dermatology | 600 Highland Ave, Madison, WI 53792 | 2006-04-01 |
| 1821059346 | Wei Huang | Dermatology | 600 Highland Ave, Madison, WI 53792 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376526095 | Eric Morgan Hanson | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220-8345 | 2005-11-28 |
| 1366776601 | Fleming Dermatopathology, LLC | Dermatology | 1661 N Water St, #500, Milwaukee, WI 53202-2085 | 2009-09-18 |
| 1578726717 | Kelli Ann Hutchens | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2008-07-08 |
| 1457554917 | Willmar Davison Patino Cadavid | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2007-06-11 |
| 1932209129 | Ling Xia | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2006-09-25 |
| 1073555033 | Fox Cities Dermatology & Skin Cancer Center, Sc | Dermatology | 188 Rockwood Ln, Neenah, WI 54956 | 2006-06-12 |
| 1578515904 | Forefront Dermatology, S.c. | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220 | 2006-05-16 |
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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.