Active NPI
Kiana Long, D.O.
- Family Medicine Physician
- Trenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20100000750
- Practice address
- 191 Iowa Blvd
Wright Memorial Hospital
Trenton, MO 64683-8343 - Phone
- (660) 358-5700
- NPI assigned
- Apr 9, 2008
- Last updated
- Oct 23, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20100000750 | MO | Primary |
Addresses
Primary practice location
191 Iowa Blvd
Wright Memorial Hospital
Trenton, MO 64683-8343
Mailing address
1109 SE Meridian Dr
Lees Summit, MO 64081-3149
Phone (925) 354-6074
Other practice location 1
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Other practice location 2
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20100000750 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Macon County Samaritan Hospital | Current | Accepting new patients | |
| Cameron Regional Medical Center Inc | Current | Accepting new patients | |
| Cameron Regional Medical Center, Inc. | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients |
Locations
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
-
dba Pershing Memorial Hospital
- Primary Care Clinic/Center
- Brookfield, MO
- NPI 1982612461
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
-
dba King City Family Health
- Rural Health Clinic/Center
- King City, MO
- NPI 1861269318
-
dba Pershing Memorial Hospital
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1285807362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 SE MERIDIAN DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813149",
"telephone_number": "925-354-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 IOWA BLVD",
"address_2": "WRIGHT MEMORIAL HOSPITAL",
"city": "TRENTON",
"state": "MO",
"postal_code": "646838343",
"telephone_number": "660-358-5700"
}
],
"practiceLocations": [
{
"address_1": "705 N College St",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "MO",
"postal_code": "644021433",
"country_code": "US",
"telephone_number": "660-726-3941",
"fax_number": "660-726-3946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 N College St",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "MO",
"postal_code": "644021433",
"country_code": "US",
"telephone_number": "660-726-3941",
"fax_number": "660-726-3946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "KIANA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "20100000750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.