Active NPI
Douglas J Long, MD
- Neurological Surgery Physician
- Omaha, NE
National Provider Identifier
1003865429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 18184
- Practice address
- 8005 Farnam Dr
Suite 305
Omaha, NE 68114 - Phone
- (402) 398-9243
- Fax
- (402) 398-9253
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 18184 | NE | Primary |
Addresses
Primary practice location
8005 Farnam Dr
Suite 305
Omaha, NE 68114
Mailing address
PO Box 241353
Omaha, NE 68124
Phone (402) 398-9243
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47061940513 | Medicaid | NE | |
| 95307 | Other | IA | BCBS |
| 1967182 | Medicaid | IA | |
| 95307 | Other | NE | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1003865429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241353",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-398-9243",
"fax_number": "402-398-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 FARNAM DR",
"address_2": "SUITE 305",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-398-9243",
"fax_number": "402-398-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DOUGLAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NE",
"license": "18184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47061940513",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "95307",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1967182",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "95307",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.