Michael M Long MD PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

MICHAEL M LONG MD PC

Practice address

6424 E Broadway Rd
104
Mesa, AZ 85206-1750

Phone

(480) 985-5331

Fax

(480) 924-6919

NPI assigned

Jun 29, 2007

Last updated

Apr 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Casillas

Title

Administrator

Phone

(480) 969-4634

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1356548507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD",
            "address_2": "104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-985-5331",
            "fax_number": "480-924-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M LONG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-969-4634"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28583402",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Elliott DMD PC
• Michael J Hyneman DMD PC
• Michael J McCauley MD PC
• Michael J. Lucherini MDPC
• Michael L. Johnson DDS P.C.
• Michael S. Crockett, DDS, PC
• Michael W Utman (Kiva Chiropractic)
• John David Michael, PH.D., LPC
• Tyler Michael, MS, OTRL
• Lawrence B. Michaelson, P.T., DPT

• Hematology & Oncology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.