Martine H Long, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101270031 Issued in VA

Practice address

515 Cornerstone St
Lynchburg, VA 24502-5342

Phone

(937) 545-5771

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1407465289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CORNERSTONE ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025342",
            "telephone_number": "937-545-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CORNERSTONE ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025342",
            "telephone_number": "937-545-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARTINE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101270031",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101270031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Lohr, LAT, ATC
• Emily Londeree, MSW, LCSW
• Alison Long
• Erin J Long, LMFT
• Kayla Long, DO
• Lucy Looney
• Alonzo Lopez
• Ariana Cristina Lopez, MD
• Tatiana Angeline Lorelli
• Jeremy Ryan Lott, MD

• Family Medicine Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.