Michael Jack Long (NPI# 1528012820, PAC ID# 8022908201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
Nation Provider ID (NPI) | 1528012820 |
PAC ID by PECOS | 8022908201 |
Professional Enrollment ID | I20040319000621 |
Full Name | Michael Jack Long |
Organization Legal Name | HOT SPRINGS RADIOLOGY SERVICES, LTD |
Address |
3633 Central Ave Suite D Hot Springs AR 71913-6475 |
Phone Number | 5016236693 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | INTERVENTIONAL RADIOLOGY |
Group Practice PAC ID | 7719926096 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040026 | ST VINCENT HOT SPRINGS |
040078 | NATIONAL PARK MEDICAL CENTER |
040015 | MENA REGIONAL HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 | 5016236693 | HOT SPRINGS RADIOLOGY SERVICES, LTD |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 67% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 84% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% |
Organization Legal Name | HOT SPRINGS RADIOLOGY SERVICES, LTD |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cecil W Cupp Iii | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave E, Hot Springs, AR 71913-6475 |
Mark B Robbins | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Michael Paul Hickman | Interventional Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Stephen P Penor | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Vance E Wise | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Nicholas E Armstrong | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
James R Mccarley | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
William M Reyenga | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Mary E Latham | Nurse Practitioner | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Steven L Weiner | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Street Address |
3633 CENTRAL AVE SUITE D |
City | HOT SPRINGS |
State | AR |
Zip | 71913-6475 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark B Robbins | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Michael Paul Hickman | Interventional Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Stephen P Penor | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Vance E Wise | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Nicholas E Armstrong | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
James R Mccarley | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
William M Reyenga | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Mary E Latham | Nurse Practitioner | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Steven L Weiner | Diagnostic Radiology | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Brittney D Lisenbey | Nurse Practitioner | Hot Springs Radiology Services, Ltd | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6475 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jamie A Cardenas | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
Amy Gordon | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
Brock A Warford | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
Mary Z Thaxton | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
Clinton H Henson | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
Misty L. Foshee | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
Margaret B Larrimer | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
Jamie C Irwin | Pediatric Medicine | Chi St Vincent Medical Group Hot Springs | 2825 Albert Pike Rd, Hot Springs National Park, AR 71913-2619 |
Mandi E Bohlen | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 2825 Albert Pike Rd, Hot Springs National Park, AR 71913-2619 |
Jenny Navarro | Internal Medicine | Chi St Vincent Medical Group Hot Springs | 2825 Albert Pike Rd, Hot Springs National Park, AR 71913-2619 |
Find all physicians in zip 71913 |
City | HOT SPRINGS |
Zip Code | 71913 |
Specialty | INTERVENTIONAL RADIOLOGY |
City + Specialty | HOT SPRINGS + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Michael Jack 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.