JEAN C LONG (NPI# 1700895208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700895208 |
| Entity Type | Individual |
| Full Name | JEAN C LONG |
| Credential | CRNA |
| Practice Address |
400 Holland Ave Braddock PA 15104-1599 |
| Mailing Address |
11353 Azalea Dr Pittsburgh PA 15235-1823 |
| Practice Telephone | 4126365612 |
| Practice Fax Number | 4126365689 |
| Mailing Telephone | 4122422541 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN124864L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RN LICENSE | RN124864L | 01 |
| NATIONAL CRNA NUMBER | 013387 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942438890 | Jean Long | Pharmacist | 822 1st Ave, Seattle, WA 98104-1405 | 2009-06-30 |
| 1598881997 | Jean West Long | Physical Therapist | 190 Park Ave, Morristown, NJ 07960-4649 | 2007-03-21 |
| Street Address |
400 HOLLAND AVE |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719738 | Charles Krifcher | Specialist | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-02-14 |
| 1518117373 | Carmen Joseph Scolieri | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-09-29 |
| 1629231972 | Sonja Eckstrom | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-07-08 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1144493503 | Curt David Bell | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-08 |
| 1134392681 | Michelle Lynne Leddon | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-04 |
| 1336312974 | Thomas Mark Kelly | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-03 |
| 1811169519 | Nancy Jean Feth | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1245403922 | Edward Richard Williams | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1124291877 | Jeanne Nicole Matucheski | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538179163 | Upmc-braddock | Nurse Anesthetist, Certified Registered | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-08 |
| 1366450694 | Alice Mae Dozzi | Nurse Anesthetist, Certified Registered | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-03 |
| 1881601490 | Richard Madoni | Nurse Anesthetist, Certified Registered | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-03 |
| 1598772238 | Cynthia Mcgettigan | Nurse Anesthetist, Certified Registered | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-02 |
| 1194788059 | Marie Elizabeth Devlin | Nurse Anesthetist, Certified Registered | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091290 | Pennsylvania Anesthesia Coalition | Nurse Anesthetist, Certified Registered | 41 Pacific Ave, Sinking Spring, PA 19608-9789 | 2020-10-17 |
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1790391001 | Alexandria Klumpp | Nurse Anesthetist, Certified Registered | 50 Weidner Dr, Morgantown, PA 19543-9332 | 2020-09-22 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1992327746 | Tower Health Medical Group | Nurse Anesthetist, Certified Registered | 1 Granite Point Dr Ste 200, Wyomissing, PA 19610-1992 | 2020-05-15 |
| 1912527045 | Edgeworth Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 301 Ohio River Blvd Ste 100, Sewickley, PA 15143-1300 | 2020-04-18 |
| 1366073991 | Monica Renee Bentzen | Nurse Anesthetist, Certified Registered | 431 Franklin Ave, Pittsburgh, PA 15221-2823 | 2020-02-02 |
| 1598305930 | Dustin Christine Nichols | Nurse Anesthetist, Certified Registered | 5267 Holmes St Apt 205, Pittsburgh, PA 15201-2468 | 2020-01-14 |
| 1952949604 | Brian Eugene Oconnell Jr. | Nurse Anesthetist, Certified Registered | 126 Cornwallis Dr, Mckeesport, PA 15135-3145 | 2019-12-12 |
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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.