George Madison Long Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000593 Issued in VA

Practice address

2401 Godwin Blvd
Ste 1
Suffolk, VA 23434-8178

Phone

(757) 539-2098

Fax

(757) 539-5188

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEIBAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aal Podiatry Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Norfolk, VA
  • NPI 1003962432

  Podiatrist

  NPD (past)
• Aal Podiatry Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
  • NPI 1629124474

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1497748628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GODWIN BLVD",
            "address_2": "STE 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348178",
            "telephone_number": "757-539-2098",
            "fax_number": "757-539-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GODWIN BLVD",
            "address_2": "STE 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348178",
            "telephone_number": "757-539-2098",
            "fax_number": "757-539-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "GEORGE",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009301879",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan and Lynn, LTD.
• Etienne Fox Logan II
• Monica Logwood
• Angela Long
• Cheryl Carter Long, CLO ELO ENTERPRISES
• Ramses Lamont Long, MD
• Katherine Stephenson Loose, PA-C
• Jonathan Lorusso, DPT
• Valerie Noble Losego, RD
• David A Lotz, O.D.

• All providers in Suffolk, VA
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.