NICHOLAS LONG (NPI# 1629512645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629512645 |
Entity Type | Individual |
Full Name | NICHOLAS LONG |
Credential | PA-C |
Practice Address |
2610 Enterprise Dr Anderson IN 46013-9684 |
Mailing Address |
13314 Santa Cruz Dr Fishers IN 46037-8692 |
Practice Telephone | 7656834400 |
Practice Fax Number | 7656427903 |
Mailing Telephone | 8123505520 |
Enumeration Date | 2016-12-09 |
Last Update Date | 2016-12-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 10002175A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306989751 | Nicholas Clayton Long | Dentist | 872 The Alameda, San Jose, CA 95126 | 2007-02-15 |
1609285626 | Nicholas Long | Specialist/Technologist | 1600 Washington Ave, Conway, AR 72032-4115 | 2014-08-04 |
1407157985 | Nicholas Michael Long | Physical Therapist | 1823 College Ave, Manhattan, KS 66502 | 2010-11-15 |
1598094955 | Nicholas James Long | Physical Therapist | 11740 Columbia St, Blakely, GA 39823-2574 | 2009-12-15 |
1740370303 | Nicholas Long | Psychologist | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
Street Address |
2610 ENTERPRISE DR |
City | ANDERSON |
State | IN |
Zip Code | 46013-9684 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073512588 | William Hall | Pain Medicine | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2005-07-18 |
1710547492 | Kylie Elizabeth Martindale | Prevention Professional | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2019-06-16 |
1245899079 | Monica Lynn Stephens | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2019-06-05 |
1235616459 | Natalie Dawn Mcclintick | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2018-07-20 |
1730603036 | Kelsey Mcgrady | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2017-07-28 |
1952847584 | Allison Meyers | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2017-01-06 |
1639629785 | Brooke Earl | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2016-10-12 |
1154791051 | Briana M King Deley | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2015-10-05 |
1275927345 | Erin Platt | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2015-03-26 |
1609275619 | David E Tann | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2014-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
Find all providers in zip 46013 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609492495 | Chloe Miller | Physician Assistant | 1417 S Winding Way, Anderson, IN 46011-3062 | 2020-06-17 |
1912536665 | Shivani Patel | Physician Assistant | 4020 Clemson Blvd, Anderson, SC 29621-1106 | 2020-04-05 |
1831757053 | Sarah Marie Calaway | Physician Assistant | 8 Justice Ln, Anderson, SC 29621-2354 | 2019-06-03 |
1316429111 | Seth Brendle | Physician Assistant | 2809 Woodridge Dr, Anderson, SC 29621-1940 | 2018-08-29 |
1285839449 | Ron Frank Poli | Physician Assistant | 2760 N. Balls Ferry Rd., Anderson, CA 96007-3537 | 2007-06-18 |
1013931476 | Shasta Community Health Center | Physician Assistant | 16300 Cloverdale Rd, Anderson, CA 96007-8209 | 2006-07-27 |
1225054794 | Rita C Raih | Physician Assistant | 520 E 8th St, Anderson, IN 46012-4017 | 2006-07-15 |
1306829551 | Melanie A Thorpe | Physician Assistant | 100 Healthy Way Ste 1260, Anderson, SC 29621-7918 | 2005-11-22 |
1215570353 | Edward Burnett Wells | Physician Assistant | 100 Healthy Way Ste 1260, Anderson, SC 29621-7918 | 2019-10-22 |
1356983878 | Katherine Salter Huff | Physician Assistant | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2019-10-16 |
Find all providers in ANDERSON |
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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.