Angela M Long, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CO2708 Issued in AR

Practice address

1910 Malvern Ave
Hot Springs, AR 71901-7752

Phone

(800) 235-1415

Fax

(913) 234-1108

NPI assigned

May 29, 2008

Last updated

May 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Angela M Base Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ouachita Regional Anesthesia PLLCGroup PAC ID 4183619216, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• National Park Medical Center Hospital, Hot Springs, AR, CCN 040078

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ouachita Regional Anesthesia PLLC

  • Anesthesiology Physician
  • Hot Springs, AR
  • NPI 1982699153
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  dba Arkansas Health Group Anesthesia

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1508800962
  Medicare reassignment NPD
• Arkansas Surgical Hospital, LLC

  dba Arkansas Surgical Hospital Anesthesia Services

  • Anesthesiology Physician
  • North Little Rock, AR
  • NPI 1265192835
  Medicare reassignment NPD
• ASC Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Pine Bluff, AR
  • NPI 1336509819

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Billins Anesthesia Inc

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1184284291
  Medicare reassignment NPD
• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ans Services of Arkansas PA

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1699558387
  NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hot Springs National Park Hospital Holdings LLC

  dba National Park Medical Center

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1841241833
  Care Compare affiliation

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1124286877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22390",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032390",
            "telephone_number": "800-235-1415",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017752",
            "telephone_number": "800-235-1415",
            "fax_number": "913-234-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CTP000068",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CO2708",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R73939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174706001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CG8899",
            "identifier": "P00628608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AR",
            "identifier": "1124286877",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BASE",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vicky Roseann Livingston, D.C.
• LJ Health & Wellness LLC
• Ashley Loe, APRN
• Hunter Logan, DPT
• Aliyah Long
• Donna Denise Long, PT
• Nancy Lynn Long, DPT
• Steven Long
• Vantriss Long, CCS
• Sarah J Loomis, D.C.

• Certified Registered Nurse Anesthetist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.