PAUL ROBERT LONG (NPI# 1972820355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972820355 |
| Entity Type | Individual |
| Full Name | PAUL ROBERT LONG |
| Credential | PAUL LONG M.D. |
| Practice Address |
1550 Ne 27th St Ste 100 Bend OR 97701-7760 |
| Practice Telephone | 5413138111 |
| Practice Fax Number | 5413138112 |
| Mailing Telephone | 5413138111 |
| Mailing Fax Number | 5413138112 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD196678 | OR | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
30199 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP10037253 | TX | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S 31st St, Department of Surgery, Temple, TX 765080001 | 2547242111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790095644 | Paul Demars Long | Orthopaedic Surgery | 206 Manchester Pl, Greensboro, NC 27410-6082 | 2010-10-13 |
| 1982927679 | Paul R Long | Registered Nurse | 52 Lockwood Ave, Buffalo, NY 14220-1827 | 2010-03-09 |
| 1164626354 | Paul Long | Dentist | 1919 Wirt Rd, Houston, TX 77055-2405 | 2007-06-12 |
| 1629679220 | Paul Long | Durable Medical Equipment & Medical Supplies | 5 Church St, West Warwick, RI 02893-4004 | 2020-11-02 |
| 1841824729 | Paul Long | Behavior Technician | 3235 S Eastern Ave, Las Vegas, NV 89169-3310 | 2020-02-28 |
| 1225473226 | Paul Long | Internal Medicine | 801 Massachusetts Avenue, Crosstown 2, Boston, MA 02118 | 2013-05-03 |
| 1336200120 | Paul Stephen Long | Social Worker | 3510 Glenmore Ave, Cincinnati, OH 45211-5420 | 2006-12-13 |
| 1982798849 | Paul Mccrary Long | Internal Medicine | 89 Main St, Hilton Head Island, SC 29926-6613 | 2006-10-03 |
| 1588761035 | Paul Alan Long | Registered Nurse | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2006-09-19 |
| 1710936026 | Paul C Long | Psychologist | 6400 Lee Hwy, St 110, Chattanooga, TN 37421-2452 | 2006-05-06 |
| Street Address |
1550 NE 27TH ST STE 100 |
| City | BEND |
| State | OR |
| Zip Code | 97701-7760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992909766 | Wayne K. Nelson | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7728 | 2007-06-13 |
| 1669917167 | Oregon Vascular Specialists LLC | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701 | 2016-12-20 |
| 1649431461 | Jason Paul Jundt | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701 | 2008-06-24 |
| 1134324528 | James Robert Ballard | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7760 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992909766 | Wayne K. Nelson | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7728 | 2007-06-13 |
| 1376753442 | Inovia LLC | Surgery | 2200 Ne Neff Rd Ste 204, Bend, OR 97701-4281 | 2007-05-23 |
| 1669917167 | Oregon Vascular Specialists LLC | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701 | 2016-12-20 |
| 1649431461 | Jason Paul Jundt | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701 | 2008-06-24 |
| 1134324528 | James Robert Ballard | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7760 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912334400 | Toshio Inahara | Surgery | 1115 Sw Summit View Dr, Portland, OR 97225-6197 | 2013-09-30 |
| 1902192396 | John Noel Dussel | Surgery | 9155 Sw Barnes Rd Ste 321, Portland, OR 97225 | 2011-06-23 |
| 1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
| 1225351901 | Willamette Vascular Specialists, PC | Surgery | 1015 25th St Se, Salem, OR 97301 | 2010-03-09 |
| 1174756605 | Benjamin R. Wilson, Md, PC | Surgery | 700 Bellevue Street, Suite 240, Salem, OR 97301-3855 | 2009-09-01 |
| 1356584973 | Norina Mohd Nordin | Surgery | 9701 Sw Barnes Rd Ste 140, Portland, OR 97225-6688 | 2009-04-13 |
| 1508074147 | Salem Vascular Consultants, LLP | Surgery | 1535 Liberty St Se, Salem, OR 97302-4345 | 2007-05-18 |
| 1750414330 | Robert J. Swangard, M.d., P.C. | Surgery | 655 E 11th Ave Ste 2a, Eugene, OR 97401-3683 | 2007-03-13 |
| 1396859633 | Andrew Thomas Gentile | Surgery | 9200 Se 91st Avenue, Happy Valley, OR 97086 | 2006-08-17 |
| 1780619601 | Gerald Peter Mcmanama IIi | Surgery | 3154 West 11th Ave, Eugene, OR 97402 | 2006-07-11 |
| 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.