Jason Long, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q4182 Issued in TX

Practice address

16727 Blue Shine TRL
Cypress, TX 77433-2596

Phone

(512) 423-0013

NPI assigned

Apr 3, 2012

Last updated

Apr 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672
  Medicare reassignment NPD
• Port Arthur Emergency Physicians

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1255491627
  Medicare reassignment NPD
• Southwest General Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1174560437
  NPD

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1548526668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16727 BLUE SHINE TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16727 BLUE SHINE TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332596",
            "telephone_number": "512-423-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyla Loften
• Arielle La Vonne Lofton, M.D.
• Brandon David Loftus, APRN-CNP
• Kristine Elizabeth Logan, PA-C
• Lori Hunt Logan, DDS
• Patricia Ann Long, NP
• Samuel Long, MD
• Celina M Longoria, D.D.S.
• Ines Adelaida Lopez-Otafuwa, MS, CCC-SLP
• Eloina Lopez-Parsons, PT

• Emergency Medicine Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.