Robert Steven Long, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 672 Issued in AR

Practice address

1200 University Dr
4891
Pine Bluff, AR 71601-2780

Phone

(870) 575-7230

Fax

(870) 575-4655

NPI assigned

Jun 23, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1619328366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 S HAZEL ST APT 110",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037842",
            "telephone_number": "662-897-4314",
            "fax_number": "870-575-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY DR",
            "address_2": "4891",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716012780",
            "telephone_number": "870-575-7230",
            "fax_number": "870-575-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT 672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loetscher Anesthesia, Inc
• Jonathan M Loetscher, CRNA
• Katie Loetscher, APRN
• Lon G. Bitzer, M.D., P.a.
• Anthony D Long Jr., CSA
• Sharon Kay Long
• Jacqueline Regina Love-Ryan
• Javaughn Love
• Marshae Quienniece Love
• Traiven Love

• Athletic Trainer in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.