Active NPI
Alexis F Long, MD
- Emergency Medicine Physician
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A108263
- Practice address
- 1100 Marshall Way
Placerville, CA 95667-6533 - Phone
- (530) 626-3682
- NPI assigned
- Nov 5, 2009
- Last updated
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
- MD Ally Services PA
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 46 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108263 | CA | MD | Marriage & Family Therapist |
| A108263 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Current | Accepting new patients | |
| MD Ally Services PA | Emergency Medicine | Current | Accepting new patients |
| Marshall Medical Center | Current | Accepting new patients | |
| Emergency Medicine Physician Partners of El Dorado County, Inc | Emergency Medicine | Current | Accepting new patients |
| Quest Health Remote Care LLC | Emergency Medicine | Current | Accepting new patients |
| MD Ally Services PA | Emergency Medicine | Current | Accepting new patients |
| Quest Health Solutions, LLC | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Marshall Hospital | Hospital | Corporate Director (6.66%) | Mar 25, 2021 |
| Marshall Home Care | Home health agency | Corporate Director (6.66%) | Mar 25, 2021 |
| Divide Wellness Center | Rural health clinic | Corporate Director | Mar 25, 2021 |
| Marshall Medical Center | 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.
-
dba Divide Wellness Center
- Rural Health Clinic/Center
- Georgetown, CA
- NPI 1346226693
Corporate Director
-
dba Marshall Pediatric Clinic
- Rural Health Clinic/Center
- Placerville, CA
- NPI 1386065480
Corporate Director
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
Corporate Director
-
dba Marshall Home Care
- Home Health Agency
- Diamond Springs, CA
- NPI 1992705040
Corporate Director
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.
-
- Emergency Medicine Physician
- Placerville, CA
- NPI 1619278660
-
- Family Medicine Physician
- El Dorado Hills, CA
- NPI 1114727377
-
- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1477218089
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1932810215
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1720794019
-
dba Marshall Speciality Care
- Gastroenterology Physician
- Cameron Park, CA
- NPI 1619021201
-
- Durable Medical Equipment & Medical Supplies
- Coral Springs, FL
- NPI 1760993968
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
dba Marshall Home Care
- Home Health Agency
- Diamond Springs, CA
- NPI 1992705040
-
dba University of California Davis Medical Center
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.