MR. RICHARD PRESTON LONGLEY (NPI# 1689883613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689883613 |
| Entity Type | Individual |
| Full Name | MR. RICHARD PRESTON LONGLEY |
| Credential | PA |
| Practice Address |
9874 Indian Key Trl Seminole FL 33776-1073 |
| Practice Telephone | 7275177733 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3041 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055967 | Richard Longley | Internal Medicine | 8939 Broadway, Merrillville, IN 46410-7039 | 2005-12-28 |
| Street Address |
9874 INDIAN KEY TRL |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33776-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003460577 | Marie Gruca | Behavior Technician | 7777 131st Street 7, Seminole, FL 33776 | 2019-08-01 |
| 1023525466 | Janis Dee Grooms | Counselor | 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 | 2018-01-08 |
| 1043737109 | Keleigh E Devlin | Behavior Technician | 12505 Starkey Road, Suite G, Largo, FL 33776 | 2017-08-29 |
| 1821527276 | Dane Andrew Kuplicki | Optometrist | 14194 84th Terrace North, Seminole, FL 33776 | 2017-06-08 |
| 1124465190 | Dolphin House Assisted Living Facility | Assisted Living Facility | 9670 134th Street N., Seminole, FL 33776 | 2013-05-30 |
| 1952671489 | Drin Mita | Pharmacist | 13705 78th Avenue North, Seminole, FL 33776 | 2011-12-30 |
| 1982987350 | Laura D Rustin | Marriage & Family Therapist | 10913 70th Ave N, Seminole, FL 33776 | 2011-09-22 |
| 1174790083 | Mary Jane Jones | Occupational Therapist | 13791 Montego Dr, Seminole, FL 33776 | 2008-05-09 |
| 1730309238 | Robert P Brillon | Pharmacist | 14502 Alejo Court, Seminole, FL 33776 | 2007-04-26 |
| 1184710774 | Dean A. Pedalino | Pharmacist | 9858 Indian Key Trail, Seminole, FL 33776 | 2006-10-04 |
| Find all providers in zip 33776 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013241421 | Amber Rose Harvey | Physician Assistant | 7601 Seminole Blvd Ste A, Seminole, FL 33772-4868 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 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.