David a Long MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME44760 Issued in FL

Legal business name

DAVID A LONG MD, PA

Practice address

1615 Pasadena Ave S
250
South Pasadena, FL 33707-4516

Phone

(727) 381-7727

Fax

(727) 381-8229

NPI assigned

May 13, 2010

Last updated

Jun 15, 2011By 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

Dr. David A Long, MDNPI 1871603613

Title

President

Phone

(727) 381-7727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Allen Long, MD

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1871603613
  Medicare reassignment NPD Authorized official
• Michelle Farazi, PA-C

  • Medical Physician Assistant
  • Clearwater, FL
  • NPI 1437663606
  NPD (past)
• Hugo Fernan Scavino, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • St Petersburg, FL
  • NPI 1215937669
  NPD (past)
• Julije Vucemilovic, MD

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1053318329
  NPD (past)
• Vinkica Vucemilovic, MD

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1801890868
  NPD (past)

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1386962439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S",
            "address_2": "250",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074516",
            "telephone_number": "727-381-7727",
            "fax_number": "727-381-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S",
            "address_2": "250",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074516",
            "telephone_number": "727-381-7727",
            "fax_number": "727-381-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A LONG MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-381-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044825700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas F Conroy, M.D.
• Brian P Cornnell, MD
• Cheryl Costello, PTA
• Casey Marie Curran, AU.D
• Darlene McLaughlin Arnp LLC
• Ashley Brooke Deaton, APRN, FNP-C
• Diagnostic Clinic Medical Group, Inc.
• Dolphins View Health Care Associates LLC (Health and Rehabilitation Centre at Dolphins View, The)
• Diego Gabriel Dorta, DPT
• Dream on Anesthesia, LLC

• Internal Medicine Physician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.