DR. JAIME B LONG (NPI# 1952386195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952386195 |
| Entity Type | Individual |
| Full Name | DR. JAIME B LONG |
| Credential | M.D. |
| Practice Address |
35 Hope Drive Suites 202/204 Hershey PA 17033-2036 |
| Mailing Address |
Po Box 858 Mc A410 Hershey PA 17033-0858 |
| Practice Telephone | 7175313503 |
| Practice Fax Number | 7175314375 |
| Mailing Telephone | 8002431455 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD433918 | PA | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
34110 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD433918 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 010213023 | 05 | |
| AZ | TRIWEST | 86080015085259C450 | 01 |
| AZ | 939754 | 05 | |
| PA | MEDICARE | 127992 | 01 |
| AZ | RAILROAD MEDICARE | P00272876 | 01 |
| PA | RAILROAD MEDICARE - READING PROFESSIONAL SERVICES | P00670380 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2494 Bernville Rd Ste 100, Reading, PA 196059467 | 6103782899 | 6103782980 |
| 500 University Dr, Hershey, PA 170332360 | 8002431455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487128112 | Jaime Rebekah Long | Psychologist | 1001 S Fairview Ave, Park Ridge, IL 60068-4712 | 2019-01-16 |
| 1689090870 | Jaime Long | Physical Therapy Assistant | 1175 Luther Drive, Hagerstown, MD 21740 | 2014-03-12 |
| 1619152600 | Jaime C. Long | Counselor | 2517 N Proctor St Ste 1, Tacoma, WA 98406-5337 | 2008-01-08 |
| 1588903645 | Jaime Long | Case Manager/Care Coordinator | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2013-02-11 |
| Street Address |
35 HOPE DRIVE SUITES 202/204 |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090448 | Stacy Lyn Hess | Internal Medicine | 35 Hope Drive, Ste 104, Hershey, PA 17033-2086 | 2005-08-19 |
| 1578913240 | Tanuja Devaraj | Internal Medicine | 35 Hope Drive, Hershey, PA 17033-0850 | 2016-06-14 |
| 1285095117 | Linda Jie Li | Obstetrics & Gynecology | 35 Hope Drive, Suites 202 & 204, Hershey, PA 17033-2086 | 2016-03-20 |
| 1558757047 | Jaclyn Mirault | Obstetrics & Gynecology | 35 Hope Drive, Suites 202/204, Hershey, PA 17033-2086 | 2015-04-10 |
| 1235523416 | Amanda Lee-ying Chu | Obstetrics & Gynecology | 35 Hope Drive, Suite 202/204, Hershey, PA 17033-2036 | 2015-03-25 |
| 1093125569 | Michael P. Mcshane | Internal Medicine | 35 Hope Drive, Ste 104, Hershey, PA 17033-2086 | 2014-05-05 |
| 1720422926 | Maureen Elizabeth Roberts | Obstetrics & Gynecology | 35 Hope Drive, Suite 202/204, Hershey, PA 17033-2086 | 2013-04-18 |
| 1730447145 | Sarah Samuel Boyd | Obstetrics & Gynecology | 35 Hope Drive, Hershey, PA 17033 | 2012-04-24 |
| 1235438037 | Malini Devi Persad | Obstetrics & Gynecology | 35 Hope Drive, Suites 202 & 204, Hershey, PA 17033-2086 | 2011-03-18 |
| 1619134962 | Abigail Kate Myers | Pediatrics | 35 Hope Drive, Suite 102, Hershey, PA 17033-2086 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1114226396 | Nabila Noor | Obstetrics & Gynecology | 1770 Bathgate Rd Ste 401, Bethlehem, PA 18017-7334 | 2011-03-27 |
| 1396992400 | Sonya Nichole Ephraim | Obstetrics & Gynecology | 3050 Hamilton Blvd Ste 200, Allentown, PA 18103-3691 | 2008-08-20 |
| 1619123825 | Luis Manuel Espaillat Rijo | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2008-08-07 |
| 1669414488 | Vincent R Lucente | Obstetrics & Gynecology | 3050 Hamilton Blvd., Suite 200, Allentown, PA 18103-3628 | 2006-06-13 |
| 1790785012 | Crisanta Sage Claydon | Obstetrics & Gynecology | 1098 W. Baltimore Pike, Suite 3404, Riddle Health Center 3, Media, PA 19063 | 2005-07-28 |
| 1861054629 | Grand View Hospital | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2019-07-02 |
| 1417415258 | Methodist Associates In Healthcare, Inc. | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-03-12 |
| 1871067116 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-01-21 |
| 1306333695 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
| 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.