NPIMap

Individual provider Active NPI

Edward Long Jr., MD

  • Internal Medicine Physician
  • Lawrenceburg, IN
National Provider Identifier
1598797938
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01034249A Issued in IN
Practice address
24068 Professional Park Dr
Lawrenceburg, IN 47025-7600
Phone
(812) 637-2323
Fax
(812) 637-2878
NPI assigned
Jul 7, 2006
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01034249A IN Primary

Addresses

Primary practice location

24068 Professional Park Dr
Lawrenceburg, IN 47025-7600

Mailing address

24068 Professional Park Dr
Lawrenceburg, IN 47025-7600
Phone (812) 637-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071127000518 OH Practitioner - Internal Medicine 1052400157 Practice locations: Cincinnati, OH
I20101229000210 IN Practitioner - Internal Medicine 1052400157 Practice locations: Lawrenceburg, IN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24068 Professional Park Dr
Lawrenceburg, IN 47025-7600
Phone (812) 637-2323

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01034249AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Long Jr MD PastSince Sep 9, 1992 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1598797938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24068 PROFESSIONAL PARK DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257600",
            "telephone_number": "812-637-2323",
            "fax_number": "812-637-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24068 PROFESSIONAL PARK DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257600",
            "telephone_number": "812-637-2323",
            "fax_number": "812-637-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01034249A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.