Individual provider Active NPI

Alexis F Long, MD

  • Emergency Medicine Physician
  • Placerville, CA
National Provider Identifier
1831426345
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A108263 Issued in CA
Practice address
1100 Marshall Way
Placerville, CA 95667-6533
Phone
(530) 626-3682
NPI assigned
Nov 5, 2009
Last updated
Jul 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A108263 CA Primary
General Practice Physician 208D00000X A108263 CA

Addresses

Primary practice location

1100 Marshall Way
Placerville, CA 95667-6533

Mailing address

PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 626-2787

Other names 1

  • Dr. Alexis F Lieser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100120000780 CA Practitioner - Emergency Medicine 9537201165 Reassigns benefits to 2 organizations
I20240924002471 FL Practitioner - Emergency Medicine 9537201165 Reassigns benefits to 2 organizations
I20241120001436 AZ Practitioner - Emergency Medicine 9537201165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians
MD Ally Services PAGroup PAC ID 9133516743, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

1095 Marshall Way
Suite 201
Placerville, CA 95667-5722
Phone (530) 626-3686

1100 Marshall Way
Placerville, CA 95667-6533
Phone (530) 626-2717

4600 E Washington St
Suite 300
Phoenix, AZ 85034-1908
Phone (844) 933-1911

7900 Oak LN
Suite 400
Miami Lakes, FL 33016-6001
Phone (203) 350-2116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
108263CAMDMarriage & Family Therapist
A108263CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center CurrentSince Aug 1, 2015 Accepting new patients
MD Ally Services PA Emergency Medicine CurrentSince Sep 15, 2024 Accepting new patients
Marshall Medical Center CurrentSince Aug 1, 2015 Accepting new patients
Emergency Medicine Physician Partners of El Dorado County, Inc Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Quest Health Remote Care LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
MD Ally Services PA Emergency Medicine CurrentSince Sep 15, 2024 Accepting new patients
Quest Health Solutions, LLC PastSince Sep 1, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920

1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1095 Marshall Way
Ste 203
Placerville, CA 95667
Phone (530) 344-5496

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

3301 N University Dr
Ste 310
Coral Springs, FL 33065
Phone (754) 778-7147

7351 Wiles Rd
Ste 104
Coral Springs, FL 33067
Phone (754) 778-7147

7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116

348 W 57th St
Ste 180
New York, NY 10019
Phone (801) 631-7318

Interoperability endpoints

  • Direct secure messaging: alexis.long.1@27810.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshall HospitalPlacerville, CA, CCN 050254 Hospital Corporate Director (6.66%) Mar 25, 2021
Marshall Home CareDiamond Springs, CA, CCN 057019 Home health agency Corporate Director (6.66%) Mar 25, 2021
Divide Wellness CenterGeorgetown, CA, CCN 058514 Rural health clinic Corporate Director Mar 25, 2021
Marshall Medical CenterPlacerville, CA, CCN 058682 Rural health clinic Corporate Director (6.66%) Mar 25, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1831426345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45680",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450680",
            "telephone_number": "530-626-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-626-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALEXIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A108263",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A108263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "LIESER",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.