William Paul Long, M.D.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

023755 Issued in LA

Practice address

1141 Whitney Ave
Building 3
Gretna, LA 70056-5011

Phone

(504) 361-3757

Fax

(504) 361-3132

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Delta Pathology Group LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1548258973
  Medicare reassignment NPD
• The Delta Pathology Group LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1871627067
  NPD
• Consultant Pathology Service, Inc.

  • Dermatopathology (Pathology) Physician
  • Gretna, LA
  • NPI 1760587752
  NPD (past)
• JRS Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Gretna, LA
  • NPI 1144325127
  NPD (past)
• The Delta Pathology Group, L.L.C.

  • Clinical Medical Laboratory
  • Shreveport, LA
  • NPI 1649279910
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1043368723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AUDUBON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184906",
            "telephone_number": "504-864-2039",
            "fax_number": "504-361-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 WHITNEY AVE",
            "address_2": "BUILDING 3",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565011",
            "telephone_number": "504-361-3757",
            "fax_number": "504-361-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "LA",
            "license": "023755",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "023755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1488437",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04930021",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Lewis
• Life Stages LLC
• Lindsey Goodwin Liuzza, MD
• Living Proof Spine and Sport LLC
• Daniel Arthur Long, MD
• Alberto M. Lopez, M.D.
• Shaun Michael Lopez, P.T.
• Elesha Loston
• Lotus Community Care, LLC
• Lotus Counseling and Assessment Service

• Dermatopathology (Pathology) Physician in Gretna, LA
• Providers in Gretna, LA by specialty
• Dermatopathology (Pathology) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.