Individual provider Active NPI

Suzanne S Long, AU.D.

  • Audiologist
  • Joplin, MO
National Provider Identifier
1124116124
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2006025392 Issued in MO
Practice address
1920 E 32ND St
Joplin, MO 64804-4103
Phone
(417) 781-4613
Fax
(417) 781-0805
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2006025392 MO Primary

Addresses

Primary practice location

1920 E 32ND St
Joplin, MO 64804-4103

Mailing address

1920 E 32ND St
Joplin, MO 64804-4103
Phone (417) 781-4613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080701000232 MO Practitioner - Qualified Audiologist 3476625831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology of JoplinGroup PAC ID 1153340278, 4 clinicians

Practice addresses (Care Compare)

1920 E 32ND St
Joplin, MO 64804-4103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology of Joplin CurrentSince Apr 20, 2011 Accepting new patients
Hand and Microsurgery Associates, LLC Past Accepting new patients

Locations

1920 E 32nd St
Joplin, MO 64804
Phone (417) 621-9000

2620 Cunningham Ave
Joplin, MO 64804
Phone (417) 624-2621

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1124116124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044103",
            "telephone_number": "417-781-4613",
            "fax_number": "417-781-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044103",
            "telephone_number": "417-781-4613",
            "fax_number": "417-781-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "SUZANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2006025392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.