DR. PAUL R. LONG (NPI# 1649231457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649231457 |
| Entity Type | Individual |
| Full Name | DR. PAUL R. LONG |
| Credential | M.D. |
| Practice Address |
1155 E Mountain Blvd Wilkes Barre PA 18702-7906 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5708206113 |
| Practice Fax Number | 5708086349 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD019504E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000737850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790095644 | Paul Demars Long | Orthopaedic Surgery | 206 Manchester Pl, Greensboro, NC 27410-6082 | 2010-10-13 |
| 1982927679 | Paul R Long | Registered Nurse | 52 Lockwood Ave, Buffalo, NY 14220-1827 | 2010-03-09 |
| 1164626354 | Paul Long | Dentist | 1919 Wirt Rd, Houston, TX 77055-2405 | 2007-06-12 |
| 1629679220 | Paul Long | Durable Medical Equipment & Medical Supplies | 5 Church St, West Warwick, RI 02893-4004 | 2020-11-02 |
| 1841824729 | Paul Long | Behavior Technician | 3235 S Eastern Ave, Las Vegas, NV 89169-3310 | 2020-02-28 |
| 1225473226 | Paul Long | Internal Medicine | 801 Massachusetts Avenue, Crosstown 2, Boston, MA 02118 | 2013-05-03 |
| 1972820355 | Paul Robert Long | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7760 | 2010-04-26 |
| 1336200120 | Paul Stephen Long | Social Worker | 3510 Glenmore Ave, Cincinnati, OH 45211-5420 | 2006-12-13 |
| 1982798849 | Paul Mccrary Long | Internal Medicine | 89 Main St, Hilton Head Island, SC 29926-6613 | 2006-10-03 |
| 1588761035 | Paul Alan Long | Registered Nurse | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2006-09-19 |
| Street Address |
1155 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-7906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234200 | Juan Manuel Arreguin | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2005-09-07 |
| 1003434069 | Carolyn Teresa Clark | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-07 |
| 1982250742 | Jessica Miller | Advanced Practice Midwife | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-16 |
| 1609422351 | Bridget Colleen Fox | Nurse Practitioner | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-16 |
| 1346896677 | Lauren Jurbala | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-13 |
| 1720559990 | Nicole Williams | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-12-16 |
| 1811468036 | Lisa Ferenchick | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-12-16 |
| 1033688726 | Lauren Mckenzie Applegate Ax | Physician Assistant | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-11-25 |
| 1366942922 | Pearleen Ann Poplawski | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-02-20 |
| 1104326750 | Alexandrea Marie Davis | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992111769 | Nil Celebi Cherukuri | Dermatology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-07-01 |
| 1770770497 | John S Zavacki, M.d.,p.c. | Dermatology | 216 N River St, Suite 640 Courthouse Square Towers, Wilkes Barre, PA 18702-2532 | 2007-09-26 |
| 1689631475 | David Jesse Strang | Dermatology | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-04-27 |
| 1710952619 | Christine E. Cabell | Dermatology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013748 | Consonant Healing Medical Associates of Pa LLC | Dermatology | 49 Smith Mill Rd, New Freedom, PA 17349-8147 | 2020-08-13 |
| 1790395747 | Dermatology Specialists of Pennsylvania | Dermatology | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 | 2020-08-05 |
| 1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
| 1841819455 | Rowe Dermatology, Pllc | Dermatology | 519 Owen Rd, Wynnewood, PA 19096-1714 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1346882651 | Whalen Dermatology of Pittsburgh PC | Dermatology | 160 Millers Run Rd Ste 500, Bridgeville, PA 15017-1358 | 2019-10-09 |
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1093368185 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Rd Ste 215a, Langhorne, PA 19047-1219 | 2019-07-18 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1588147748 | Pittsburgh Skin PC | Dermatology | 144 Emeryville Dr Ste 230, Cranberry Twp, PA 16066-5015 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
Please comment or provide details below to improve the information on DR. PAUL R. 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.