MR. DOUGLAS WILLIAM LONG (NPI# 1689049702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689049702 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS WILLIAM LONG |
| Credential | ACNPC-AG |
| Practice Address |
403 W Oak St Ste 100 El Dorado AR 71730-4573 |
| Practice Telephone | 8708751481 |
| Practice Fax Number | 8708751485 |
| Mailing Telephone | 8708751481 |
| Mailing Fax Number | 8708751486 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2020-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A005415 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 638 California Ave Sw, Camden, AR 717014604 | 8708751481 | 8708751486 |
| 700 W Grove St, El Dorado, AR 717304416 | 8798751481 | 8708751486 |
| 638 California Ave Sw, Camden, AR 717014604 | 8706758357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720121619 | Douglas Jess Long | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2007-02-14 |
| 1164499547 | Douglas L Long | Chiropractor | 4515 Harding Pike, Suite 110, Nashville, TN 37205-2118 | 2006-03-03 |
| 1750731592 | Douglas Moore Long | Psychologist | 593 Eddy St, Potter Building, 2nd Floor, Providence, RI 02903-4923 | 2016-06-13 |
| 1902904006 | Douglas M Long | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-09-20 |
| 1487756763 | Douglas G Long | Family Medicine | 3801 E Highway 98, Er, Port St Joe, FL 32456-5318 | 2006-09-05 |
| 1730290735 | Douglas Frank Long | Physician Assistant | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2006-08-31 |
| 1255368528 | Douglas M. Long | Ophthalmology | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2006-06-26 |
| 1306872379 | Douglas Long | Pharmacist | 105a Broyles St, Johnson City, TN 37601-2517 | 2006-06-23 |
| 1003865429 | Douglas J Long | Neurological Surgery | 8005 Farnam Dr, Suite 305, Omaha, NE 68114 | 2006-05-10 |
| 1023079837 | Douglas W. Long | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-03-31 |
| Street Address |
403 W OAK ST STE 100 |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679544571 | Lisa Mcadams | Nurse Practitioner | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538285 | Matthew Barnett | Nurse Practitioner | 63 Dalton Dr, Cave City, AR 72521-9308 | 2020-11-05 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1528691912 | Rachel Wetherington | Nurse Practitioner | 9501 Baptist Health Dr Ste 500, Little Rock, AR 72205-6225 | 2020-02-13 |
| 1932749561 | Jennifer Breathitt | Nurse Practitioner | 4542 W Wedge Dr, Fayetteville, AR 72704-7532 | 2020-01-11 |
| 1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
| 1366089740 | Katelyn Layne Ledbetter | Nurse Practitioner | 8 Summerwood Dr, Benton, AR 72019-1925 | 2019-12-05 |
| 1588213771 | Wendy Joanne Hart | Nurse Practitioner | 601 W Maple Ave Ste 703, Springdale, AR 72764-5378 | 2019-09-10 |
| 1235796145 | Nickey Noid | Nurse Practitioner | 1709 Cedar Dr, Bryant, AR 72019-6378 | 2019-05-26 |
| 1083175848 | Lisa Renee Bridges | Nurse Practitioner | 423 Magnolia St, Marion, AR 72364-2811 | 2019-03-26 |
| 1922566785 | Amanda Mcclure | Nurse Practitioner | 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 | 2019-03-11 |
| Find all providers with the same taxonomy | ||||
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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.