Active NPI
Roland V Long, M.D.
- Emergency Medicine Physician
- Zanesville, OH
National Provider Identifier
1194732446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35044593
- Practice address
- 2951 Maple Ave
Zanesville, OH 43701-1406 - Phone
- (740) 454-4394
- Fax
- (740) 454-4681
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35044593 | OH | Primary |
Addresses
Primary practice location
2951 Maple Ave
Zanesville, OH 43701-1406
Mailing address
2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0421574 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35044593 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskingum Emergency Physicia | Emergency Medicine | Past | Accepting new patients |
| Genesis Medical Group LLC | Past | Accepting new patients |
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.
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
-
- Emergency Medicine Physician
- Zanesville, OH
- NPI 1790791929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1194732446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011406",
"telephone_number": "740-454-4394",
"fax_number": "740-454-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011406",
"telephone_number": "740-454-4394",
"fax_number": "740-454-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ROLAND",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35044593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0421574",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.