Herbert Long (NPI# 1801890686, PAC ID# 4789588492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1801890686 |
| PAC ID by PECOS | 4789588492 |
| Professional Enrollment ID | I20040326000157 |
| Full Name | Herbert Long |
| Organization Legal Name | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Address |
417 River Dr Irvine KY 40336-1272 |
| Phone Number | 6067230399 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820993702 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181301 | MARCUM AND WALLACE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 417 River Dr, Irvine, KY 40336-1272 | 6067230399 | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Organization Legal Name | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Physicians | 261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryne J Blair | General Surgery | Kentuckyone Health Medical Group Inc | 1406 W 5th St, Suite 301, London, KY 40741-1688 |
| David Cody Dugger | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 160 London Mountain View Dr, London, KY 40741-6601 |
| Karyn N Mcguire | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| Billie Renee Hensley | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 475 Shoppers Dr, Winchester, KY 40391-1380 |
| Joseph Tylor Silvers | Family Medicine | Kentuckyone Health Medical Group Inc | 148 London Mountain View Dr, Suite 4, London, KY 40741-6617 |
| Sarah E Greenwell | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 110 S Salem Dr, Bardstown, KY 40004-1761 |
| Amelia Nicole Stevens | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 478 Whirlaway Dr, Suite 200, Danville, KY 40422-9037 |
| Indhira Bisono Jimenez | Rheumatology | Kentuckyone Health Medical Group Inc | 211 Fountain Ct, Suite 220, Lexington, KY 40509-2696 |
| Janet Rae Mcfarland | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 1250 Keene Rd, Suite 102, Nicholasville, KY 40356-7600 |
| Elizabeth J Coblentz | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 2750 Battlefield Memorial Hwy, Berea, KY 40403-8332 |
| Street Address |
417 RIVER DR |
| City | IRVINE |
| State | KY |
| Zip | 40336-1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karyn N Mcguire | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| William David Longworth | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William W Wachs | Optometry | 218 Main St, Irvine, KY 40336-1026 | |
| Elizabeth Taheny | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Donna Ruth Isfort | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Debra Jean Wolf | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Joyce L Puckett | Nurse Practitioner | 101 River Dr, Irvine, KY 40336-1117 | |
| Judy Ann Renfro | Nurse Practitioner | 365 River Dr, Irvine, KY 40336-1284 | |
| Jason R Deskins | Family Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Paula W Hollingsworth | Interventional Cardiology | Baptist Health Medical Group Inc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| William S Witt | Diagnostic Radiology | 60 Mercy Ct, Irvine, KY 40336-1331 | |
| Mark W Rukavina | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Find all physicians in zip 40336 | |||
| City | IRVINE |
| Zip Code | 40336 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | IRVINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Herbert 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.