Victor D Long (NPI# 1609801034, PAC ID# 4183716426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1609801034 |
| PAC ID by PECOS | 4183716426 |
| Professional Enrollment ID | I20070816000554 |
| Full Name | Victor D Long |
| Address |
100 Se 59th St Oklahoma City OK 73129-3616 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Se 59th St, Oklahoma City, OK 73129-3616 |
| Street Address |
100 SE 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73129-3616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent H Webb | General Surgery | Surgical Hospital of Oklahoma LLC | 100 Se 59th St, Oklahoma City, OK 73129-3616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Van B Ngo | Nurse Practitioner | Housecalls Transitional Care Associates | 4311 S Prospect, Housecalls Transitional Care Associates, Oklahoma City, OK 73129-1000 |
| Clinton A Winslow | Family Medicine | 4300 S Shields Blvd, Oklahoma City, OK 73129-2864 | |
| Dyanna E Johnston | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Nicole Ida Harris | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Jewelle M Scott | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Ebony C Wolfe | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Terry L Nickels | Family Medicine | 2803 Se 44th St, Oklahoma City, OK 73129-8533 |
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | OKLAHOMA CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.