Individual provider Active NPI

Robert Long, MD

  • Specialist
  • Waco, TX
National Provider Identifier
1679569644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04146R Issued in LA
Practice address
7125 New Sanger Rd
Suite B Waco Lung Associates
Waco, TX 76712
Phone
(254) 741-1688
Fax
(254) 741-9767
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04146R LA Primary

Addresses

Primary practice location

7125 New Sanger Rd
Suite B Waco Lung Associates
Waco, TX 76712

Mailing address

7125 New Sanger Rd
Suite B Waco Lung Associates
Waco, TX 76712
Phone (254) 741-1688

Other identifiers 1

IdentifierTypeStateIssuer
1956287MedicaidLA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Critical Care Specialists, L.L.C. Specialist Past Accepting new patients
Waco Lung Associates PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679569644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER RD",
            "address_2": "SUITE B WACO LUNG ASSOCIATES",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-741-1688",
            "fax_number": "254-741-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER RD",
            "address_2": "SUITE B WACO LUNG ASSOCIATES",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-741-1688",
            "fax_number": "254-741-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "04146R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1956287",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.