NICHOLAS LONG


Address: 2610 Enterprise Dr, Anderson, IN 46013-9684
Phone: 7656834400

NICHOLAS LONG (NPI# 1629512645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10002175A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICHOLAS LONG

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

Office Location

Street Address 2610 ENTERPRISE DR
City ANDERSON
State IN
Zip Code 46013-9684

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ANDERSON
Zip Code 46013

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Dataset Information

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.

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