Active NPI
David Edward Long, DO
- Gastroenterology Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 34.015455
- Practice address
- 2793 Shawnee Rd Ste 374
Lima, OH 45806-1444 - Phone
- (419) 227-8209
- Fax
- (419) 222-6007
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34.015455 | OH | |
| Gastroenterology Physician | 207RG0100X | 34.015455 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2793 Shawnee Rd Ste 374
Lima, OH 45806-1444
Mailing address
9660 Sunray Dr
Olmsted TWP, OH 44138-4253
Phone (216) 903-9881
Other practice location 1
140 Fox Rd Ste 201
Van Wert, OH 45891-2492
Phone (419) 227-8209
Other practice location 2
9500 Euclid Ave # Na-23
Cleveland, OH 44195-0002
Phone (216) 444-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0494742 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ohio University, College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2793 Shawnee Rd
Lima, OH 45806-1444
Phone (419) 227-8209
2925 Vernon PL
Cincinnati, OH 45219-2425
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
- Lima Memorial Health System
- Cleveland Clinic
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015455 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gcga Physicians Inc. | Single Specialty | Current | Accepting new patients |
| Major Hospital | Single Specialty | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Single Specialty | Past | Accepting new patients |
Locations
2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555
2793 Shawnee Rd
Lima, OH 45806
Phone (419) 204-1501
2793 Shawnee Rd
Ste 374
Lima, OH 45806
140 Fox Rd
Ste 201
Van Wert, OH 45891
Phone (419) 232-2077
Organizations & group practices 3
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 Acute Care Hospital
- Lima, OH
- NPI 1336144732
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1205398997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9660 SUNRAY DR",
"city": "OLMSTED TWP",
"state": "OH",
"postal_code": "441384253",
"telephone_number": "216-903-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2793 SHAWNEE RD STE 374",
"city": "LIMA",
"state": "OH",
"postal_code": "458061444",
"telephone_number": "419-227-8209",
"fax_number": "419-222-6007"
}
],
"practiceLocations": [
{
"address_1": "140 Fox Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Van Wert",
"state": "OH",
"postal_code": "458912492",
"country_code": "US",
"telephone_number": "419-227-8209",
"fax_number": "419-222-6007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Euclid Ave # Na-23",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950002",
"country_code": "US",
"telephone_number": "216-444-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "DAVID",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.015455",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "34.015455",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0494742",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.