Mason H Long MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MASON H LONG MD PA

Practice address

301 Health Park Blvd Ste 325
St Augustine, FL 32086-5771

Phone

(904) 824-6164

Fax

(904) 824-0365

NPI assigned

Apr 21, 2010

Organization subpart

No

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

Authorized official

Name

Mason H Long, MD

Title

President/Owner

Phone

(904) 824-6164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1710204474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 325",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865771",
            "telephone_number": "904-824-6164",
            "fax_number": "904-824-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 325",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865771",
            "telephone_number": "904-824-6164",
            "fax_number": "904-824-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON H LONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-824-6164",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038939100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Marutov, DPT
• Mary Alston Kerllenevich, LLC
• Mary West
• Anna Marzak
• Miguel A Mas Jr., MD
• Caitlin Mason, SLP
• Lisa Ann Mason, LMHC
• Melissa Leigh Mason, M.S., BCBA
• Timothy Michael Mason, PHARMD
• Joshua B Massey, PA

• Internal Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.