Michael David Long, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

J6551 Issued in TX

Practice address

6012 82ND St Ste 15
Lubbock, TX 79424-3671

Phone

(806) 749-7933

Fax

(806) 749-6117

NPI assigned

Jul 7, 2006

Last updated

May 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Texas Tech University Health Science Center School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dlong@longharris.curemd.direct-ci.com

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.

• Michael David Long MD PA

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1396442182
  Medicare reassignment NPD Authorized official
• Long & Harris Dermatology PLLC

  dba Lubbock Dermatology West

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1962928440
  Medicare reassignment NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1386676542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 NORWOOD AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135909",
            "telephone_number": "806-787-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 82ND ST STE 15",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243671",
            "telephone_number": "806-749-7933",
            "fax_number": "806-749-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 21st St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101219",
            "country_code": "US",
            "telephone_number": "806-795-0610",
            "fax_number": "806-795-0602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3223 S Loop 289 Ste 325",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794231351",
            "country_code": "US",
            "telephone_number": "806-412-5224",
            "fax_number": "806-412-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "J6551",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J6551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046852201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long & Harris Dermatology PLLC (Lubbock Dermatology West)
• David R Long, MD
• Diane Long, M.ED., LPC
• Joshua Alan Long, CRNA
• Laura Lynn Long, M.D.
• Christopher C Longbine, PHARMD
• Sawyer Longley
• Grace Ann Longoria
• Jason Travis Loos, M.D.
• Neftaly Lopez Diaz, PHARMD

• Dermatology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.

Verify at the official NPI Registry.