Richard Long (NPI# 1407891443, PAC ID# 4385612928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407891443 |
| PAC ID by PECOS | 4385612928 |
| Professional Enrollment ID | I20080118000559 |
| Full Name | Richard Long |
| Organization Legal Name | ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Address |
1202 S Tyler St Covington LA 70433-2330 |
| Phone Number | 9858983743 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 0749273761 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190045 | ST TAMMANY PARISH HOSPITAL |
| 190036 | OCHSNER MEDICAL CENTER NEW ORLEANS |
| Address | Phone | Organization |
|---|---|---|
| 1202 S Tyler St, Covington, LA 70433-2330 | 9858983743 | ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| 201 Saint Ann Dr B, Mandeville, LA 70471-3219 | 9856261717 | ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Organization Legal Name | ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Elizabeth Lange | Nurse Practitioner | St Tammany Parish Hospital Service District No 1 | 80 Gardenia Dr B, Covington, LA 70433-9168 |
| Russell Joseph Reed | Interventional Cardiology | St Tammany Parish Hospital Service District No 1 | 1006 S Harrison St, Covington Cardiovascular Care At St Tammany Parish Hosp, Covington, LA 70433-3630 |
| Maria Dolores Roberts | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1520 Hwy 22 W, Madisonville, LA 70447-9441 |
| Jennifer Thomas | Nurse Practitioner | St Tammany Parish Hospital Service District No 1 | 201 Saint Ann Dr B, Mandeville, LA 70471-3219 |
| Michael W Carpenter | General Surgery | St Tammany Parish Hospital Service District No 1 | 606 W 11th Ave, Northlake Surgical Associates At St Tammany Parish, Covington, LA 70433-3630 |
| Libeau J Berthelot | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Katie B Taranto | Internal Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Smita S Patel | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| John H Verhulst | General Surgery | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Jessica Gonzalez | Internal Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Street Address |
1202 S TYLER ST |
| City | COVINGTON |
| State | LA |
| Zip | 70433-2330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin M Owens | Diagnostic Radiology | Regional Radiology, LLC | 1202 S Tyler St, Covington, LA 70433-2330 |
| Jonah S Smith | Certified Registered Nurse Anesthetist (crna) | Total Anesthesia Care | 1202 S Tyler St, Covington, LA 70433-2330 |
| Geoffrey S Fendley | Certified Registered Nurse Anesthetist (crna) | Total Anesthesia Care | 1202 S Tyler St, Covington, LA 70433-2330 |
| Libeau J Berthelot | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Christina M Pollet | Certified Registered Nurse Anesthetist (crna) | Total Anesthesia Care | 1202 S Tyler St, Covington, LA 70433-2330 |
| Katie B Taranto | Internal Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Haley R Davis | Emergency Medicine | St Tammany Emergency Physicians Group LLC | 1202 S Tyler St, Covington, LA 70433-2330 |
| Smita S Patel | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| John H Verhulst | General Surgery | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Heather L Haddad | Diagnostic Radiology | Regional Radiology, LLC | 1202 S Tyler St, Covington, LA 70433-2330 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Pechon | Clinical Social Worker | 5001 U S Hwy 190 D4, Covington, LA 70433 | |
| Richard B Drude | Gastroenterology | Richard B. Drude, Jr., M.d., Apmc | 69150 Hwy 190, Covington, LA 70433 |
| Bruce S Samuels | Internal Medicine | 189 Greenbriar Blvd, Suite C, Covington, LA 70433 | |
| Nicholas J Viviano | Dermatology | 7031 Hwy 190, Covington, LA 70433 | |
| Thomas W Nielsen Jr. | Clinical Social Worker | 5001 Hwy 190, Suite B 1, Covington, LA 70433 | |
| Glenn D Hedgpeth | Gastroenterology | Dr. Bruce S. Samuels, LLC | 189 Greenbriar Blvd, Covington, LA 70433 |
| Brian C Cochran | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Jonathan S Mitchell | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Charles Balette | Family Medicine | 1119 S Tyler St, Covington, LA 70433-2327 | |
| Roy C Saguiguit | Internal Medicine | 1113 S Tyler St, Covington, LA 70433-2327 | |
| Find all physicians in zip 70433 | |||
| City | COVINGTON |
| Zip Code | 70433 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COVINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard Long.
| 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.