NPIMap

Organization Active NPI

James W Long MD PC

  • Ophthalmology Physician
  • Salem, OR
National Provider Identifier
1578788014
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD10954 Issued in OR
Legal business name
JAMES W LONG MD PC
Practice address
1020 Liberty St SE
Salem, OR 97302-4141
Phone
(503) 581-7412
Fax
(503) 581-1095
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Ms. Karen D Walls
Title
Office Manager
Phone
(503) 581-7412

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1604AT OR
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3152ATI OR
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD10954 OR Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD26362 OR
Eyewear Supplier 332H00000X MD10954 OR

Addresses

Primary practice location

1020 Liberty St SE
Salem, OR 97302-4141

Mailing address

1020 Liberty St SE
Salem, OR 97302-4141
Phone (503) 581-7412

Other identifiers 1

IdentifierTypeStateIssuer
241802MedicaidOR

National Provider Directory

National Provider Directory

Locations

1020 Liberty St SE
Salem, OR 97302
Phone (503) 581-7412

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1578788014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024141",
            "telephone_number": "503-581-7412",
            "fax_number": "503-581-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024141",
            "telephone_number": "503-581-7412",
            "fax_number": "503-581-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W LONG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-581-7412",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1604AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3152ATI",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD10954",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD26362",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": "MD10954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241802",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.