Dale E Long, D.O

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-094722 Issued in IL

Practice address

103 N Oak St
O Fallon, IL 62269-1165

Phone

(618) 624-3368

Fax

(618) 624-3387

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Hospital & Medical Foundation of Paris, Inc.

  • Clinic/Center
  • Paris, IL
  • NPI 1629280367
  NPD (past)
• HSHS Holy Family Hospital Inc

  • Registered Dietitian
  • Greenville, IL
  • NPI 1558383968
  NPD (past)
• Illiana Emergency Physicians LLP

  • Emergency Medicine Physician
  • Greenville, IL
  • NPI 1730426941
  NPD (past)
• Illiana Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Danville, IL
  • NPI 1164447058
  NPD (past)
• Five Star Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hartford, KY
  • NPI 1205971579
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275567612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N OAK ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691165",
            "telephone_number": "618-624-3368",
            "fax_number": "618-624-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N OAK ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691165",
            "telephone_number": "618-624-3368",
            "fax_number": "618-624-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DALE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-094722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana M Loepker, APN
• Brock C Loesche
• Erin Meyer Logsdon, SLP
• Kathryn Lohman, PA-C
• April Lomax
• Katy Jo Lorenzo
• Jessica Ann Lorts
• Craig Stuart Lotz, PSYD, LCP
• Alexandria Maria Lovell
• Nicole Lowrey, MD, PHD

• Emergency Medicine Physician in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.