TROY EDWARD LONG (NPI# 1770854101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770854101 |
| Entity Type | Individual |
| Full Name | TROY EDWARD LONG |
| Credential | IDMT |
| Practice Address |
8504 Emory Rd Ne Corryton TN 37721 |
| Practice Telephone | 8652574683 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987538 | Troy L. Long IIi | Dentist | 212 N Castle Heights Ave, Suite A, Lebanon, TN 37087-2740 | 2006-01-19 |
| 1508852138 | Troy A Long | Internal Medicine | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2005-09-20 |
| 1710101225 | Troy Long | Counselor | 1222 10th St Ste 211, Woodward, OK 73801-3156 | 2007-04-13 |
| 1023019759 | Troy Dean Long | Radiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2005-08-03 |
| Street Address |
8504 EMORY RD NE |
| City | CORRYTON |
| State | TN |
| Zip Code | 37721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457470015 | Karen Phillips Beets | Nurse Practitioner | 7701 Corryton Rd, Corryton, TN 37721-2630 | 2007-03-28 |
| 1245752997 | Family Practice of Corryton | Family Medicine | 7701 Corryton Rd, Corryton, TN 37721-2630 | 2017-07-14 |
| 1922544170 | Farmer Practice LLC | Nurse Practitioner | 7701 Corryton Rd, Corryton, TN 37721-2630 | 2017-01-12 |
| 1386028488 | Jordan L Dyer | Nurse Practitioner | 7701 Corryton Rd, Corryton, TN 37721-2630 | 2015-07-17 |
| 1376898734 | Quality Medical Center of Union County | Nurse Practitioner | 7701 Corryton Rd, Corryton, TN 37721-2630 | 2012-07-20 |
| 1134489024 | Braden Family Medicine, Pllc | Family Medicine | 7701 Corryton Rd, Corryton, TN 37721-2630 | 2012-05-24 |
| 1255317459 | Napier-sudekum Dental Clinic | Clinic/Center | 451 Murfreesboro Rd, Nashville, TN 37721-2842 | 2005-12-20 |
| 1083172936 | Eugene Wayne Dupas Jr. | Physical Medicine & Rehabilitation | 7628 Tazewell Pike, Corryton, TN 37721-2910 | 2019-03-11 |
| 1104976950 | Maryjane Haney | Nurse Practitioner | 7331 Tazewell Pike, Corryton, TN 37721-3516 | 2007-01-12 |
| 1356444079 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7341 Tazewell Pike, Corryton, TN 37721-3516 | 2006-09-07 |
| Find all providers in zip 37721 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891125001 | Alexisa M Humphrey | Military Health Care Provider | 225 Von Karman Rd, Bldg 225, Arnold Afb, TN 37389 | 2013-11-25 |
| 1225321433 | Zachary Marker | Military Health Care Provider | 114 Parham Rd, Martin, TN 38237-7137 | 2011-05-20 |
| 1932334463 | Christopher Kevin Mclain | Military Health Care Provider | 420 Post Ave, 134th Medical Aid Station, Mcghee Tyson Airbase, TN 37777-7602 | 2009-05-28 |
| 1407090517 | Robert Louchery | Military Health Care Provider | 225 Von Karmon, First Street, Arnold Afb, TN 37389 | 2009-04-21 |
| 1558845362 | Walter Buckner | Military Health Care Provider | 420 Post Ave, Louisville, TN 37777-6223 | 2018-09-18 |
| 1104052216 | Jack Homer Atkins IIi | Military Health Care Provider | 420 Post Ave, Louisville, TN 37777-6223 | 2009-06-03 |
| 1811123128 | Glen Robert Riley | Military Health Care Provider | 420 Post Ave, Louisville, TN 37777-6223 | 2009-06-02 |
| 1669674818 | Mark David Narduzzi | Military Health Care Provider | 5722 Integrity Dr, Bldg S-771, Millington, TN 38054-5028 | 2007-06-01 |
Please comment or provide details below to improve the information on TROY EDWARD 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.