Scott D Long (NPI# 1679686679, PAC ID# 7012942022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1679686679 |
| PAC ID by PECOS | 7012942022 |
| Professional Enrollment ID | I20050928001047 |
| Full Name | Scott D Long |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Address |
114 W Stratford Dr Suite E Peoria IL 61614-7300 |
| Phone Number | 3097404270 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436061827 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140166 | ST MARYS HOSPITAL |
| 141350 | ST FRANCIS HOSPITAL |
| 140019 | HSHS GOOD SHEPHERD HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 503 N Maple St, Effingham, IL 62401-2006 | 2173422121 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2173242191 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 6182342120 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 | 3097404270 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 221 Ne Glen Oak, Methodist Medical Center, Peoria, IL 61636-0001 | 3096725522 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 530 Neglen Oak Ave, Peoria, IL 61636-0001 | 3096552000 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 325 Spring St, Red Bud, IL 62278-1105 | 6182823831 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 200 S Cedar St, Shelbyville, IL 62565-1838 | 2177743961 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 818 E Broadway St, Sparta, IL 62286-1820 | 6184432177 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 400 N 9th St, Springfield, IL 62702-5310 | 2175446464 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 77% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 82% |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Alexander Roman Oshmyansky | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 8712 W Fair Dr, Littleton, CO 80123-3229 |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Leon J Wise | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Grace A Tye | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 956 Calle Santa Cruz, Encinitas, CA 92024-6609 |
| Hugh Mcswain | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 31 Dorset Ln, Mill Valley, CA 94941-5203 |
| Miriam Jill Sullivan | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Howard I Roth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Street Address |
114 W STRATFORD DR SUITE E |
| City | PEORIA |
| State | IL |
| Zip | 61614-7300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Jessica M Mitchell | Nurse Practitioner | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Vincent J Zata | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Joel Baber | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Shawn A Mayer | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Dean Ross Collette | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Joel E Tennenhouse | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Simon V Bekker | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Wallace M Anderson | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| David Thomas Downs | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Michael Pepperell | Chiropractic | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | |
| Caleb O Johnson | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Lance A Reiman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Caitlin Marie Pribble | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| James L Swingler | Obstetrics/gynecology | 7501 N University St, Suite 113, Peoria, IL 61614-1234 | |
| Christine A Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Kyle J Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Christine Marie Fletcher | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Danila L Mcasey | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Keith A Kramer | Chiropractic | Kramer Chiropractic and Acupuncture | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 |
| Find all physicians in zip 61614 | |||
| City | PEORIA |
| Zip Code | 61614 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PEORIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Scott D 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.