DR. EDWIN THOMAS LONG (NPI# 1659351260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659351260 |
| Entity Type | Individual |
| Full Name | DR. EDWIN THOMAS LONG |
| Credential | M.D. |
| Practice Address |
1 Boone Rd Bremerton WA 98312-1894 |
| Practice Telephone | 3604754334 |
| Practice Fax Number | 3604754426 |
| Mailing Telephone | 3604754334 |
| Mailing Fax Number | 3604754426 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
0101057130 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801974787 | Edwin Tutt Long | Surgery | 4550 Warwick Blvd, Ste # 1209, Kansas City, MO 64111-7725 | 2006-11-01 |
| 1104802701 | Edwin U Long | Dentist | 202 S Lexington, Harrisonville, MO 64701-5317 | 2005-12-16 |
| Street Address |
1 BOONE RD |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829548 | Jeffrey Steven Martens | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2005-05-31 |
| 1871106039 | Matthew Raymond Wasilewski | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-08-27 |
| 1124637269 | Jason D Balazs | Nurse Anesthetist, Certified Registered | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-07-24 |
| 1649893769 | Joy Marie Abonitalla Bautista | Registered Nurse | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-05-22 |
| 1710511027 | Brad Levi Okeefe | Nurse Practitioner | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-02-25 |
| 1659914091 | Caitlin Sleight | Psychologist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-10-17 |
| 1477194603 | Nicholas Kovacevic | Dentist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-09-29 |
| 1023576295 | Jennifer Danielle Squazza | Advanced Practice Midwife | 1 Boone Rd, Bremerton, WA 98312-1898 | 2019-03-06 |
| 1538654348 | Ashley Simpson | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2018-06-25 |
| 1619481280 | Victor Roger Chu | Pharmacist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1437333473 | Spokane Hyperbaric Center LLC | Preventive Medicine | 13007 E Misson Ave, Spokane, WA 99216 | 2007-12-27 |
| 1831166354 | Tacoma Hyperbaric Billing, LLC | Preventive Medicine | 1717 So J St, St Joseph Medical Center- Hyperbaric Unit & Wound Clini, Tacoma, WA 98405 | 2006-03-02 |
| 1396725172 | Michael J Oras | Preventive Medicine | Eodmu 11, 180 W Tulagi Ave, Oak Harbor, WA 98278-0001 | 2006-01-18 |
| 1609348358 | Zephyr Holdings Inc | Preventive Medicine | 525 5th Ave S Ste 102, Edmonds, WA 98020-3612 | 2018-12-19 |
| 1134599897 | Healogics Specialty Physicians of Washington, Pllc | Preventive Medicine | 800 W 5th Ave, Spokane, WA 99204-2803 | 2015-10-06 |
| 1063657377 | Public Hospital Distrist No. 1 of Snohomish County | Preventive Medicine | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2008-12-16 |
| 1891755914 | James Kirk Wright | Preventive Medicine | 939 Caroline St, Port Angeles, WA 98362 | 2006-03-24 |
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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.