Organization Active NPI

Donald P. Long, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Port Arthur, TX
National Provider Identifier
1144551540
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DONALD P. LONG, M.D., P.A.
Practice address
4640 9TH Ave Ste 101
Port Arthur, TX 77642-5820
Phone
(409) 983-1066
Fax
(409) 983-7272
NPI assigned
Jan 25, 2010
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Donald Paul Long Sr., M.D.
Title
Physician
Phone
(409) 983-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

4640 9TH Ave Ste 101
Port Arthur, TX 77642-5820

Mailing address

4640 9TH Ave Ste 101
Port Arthur, TX 77642-5820
Phone (409) 983-1066

Other identifiers 1

IdentifierTypeStateIssuer
097631801MedicaidTX

National Provider Directory

National Provider Directory

Locations

4640 9th Ave
Ste 101
Port Arthur, TX 77642
Phone (409) 983-1066

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1144551540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 9TH AVE STE 101",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425820",
            "telephone_number": "409-983-1066",
            "fax_number": "409-983-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 9TH AVE STE 101",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425820",
            "telephone_number": "409-983-1066",
            "fax_number": "409-983-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD P. LONG, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-983-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097631801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.