C.W. Long Enterprises, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

29119 Issued in MO

Legal business name

C.W. LONG ENTERPRISES, INC.

Practice address

200 W Chestnut St
Butler, MO 64730-1554

Phone

(660) 679-3140

Fax

(660) 679-3468

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Curtis W. Long, M.D.

Title

Owner/Physicain

Phone

(660) 679-3140

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1811122864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647300140",
            "telephone_number": "660-679-3140",
            "fax_number": "660-679-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CHESTNUT ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301554",
            "telephone_number": "660-679-3140",
            "fax_number": "660-679-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.W. LONG ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PHYSICAIN",
        "authorized_official_telephone_number": "660-679-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "29119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200645901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Butler, MO
• Providers in Butler, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.