Active NPI
Thomas N Long, MD
- Surgery Physician
- Decatur, TX
National Provider Identifier
1619085370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- F0565
- Practice address
- 1001 W Eagle Dr
Decatur, TX 76234-3745 - Phone
- (940) 627-7443
- Fax
- (940) 627-7464
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | F0565 | TX | Primary |
Addresses
Primary practice location
1001 W Eagle Dr
Decatur, TX 76234-3745
Mailing address
1001 W Eagle Dr
Decatur, TX 76234-3745
Phone (940) 627-7443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020030286 | Other | TX | RAILROAD MEDICARE |
| 177596001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0565 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1619085370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W EAGLE DR",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343745",
"telephone_number": "940-627-7443",
"fax_number": "940-627-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W EAGLE DR",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343745",
"telephone_number": "940-627-7443",
"fax_number": "940-627-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "THOMAS",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "F0565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020030286",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177596001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.