Individual provider Active NPI

Lana L Long, MD

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1841200466
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.068727 Issued in OH
Practice address
1 West 4TH Street
Suite 2200
Cincinnati, OH 45202
Phone
(513) 421-3376
Fax
(513) 618-2128
NPI assigned
Aug 8, 2006
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35-068727 OH
Dermatology Physician 207N00000X 31630 KY
Dermatology Physician 207N00000X 35.068727 OH Primary

Addresses

Primary practice location

1 West 4TH Street
Suite 2200
Cincinnati, OH 45202

Mailing address

1 West 4TH Street
Suite 2200
Cincinnati, OH 45202
Phone (513) 421-3376

Other identifiers 1

IdentifierTypeStateIssuer
64316300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000196 OH Practitioner - Dermatology 8123158391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett Coldiron MDGroup PAC ID 3375543762, 5 clinicians

Practice addresses (Care Compare)

3024 Burnet Ave
Cincinnati, OH 45219-2420
Phone (513) 221-2828

Merit-based Incentive Payment System (MIPS)

Final score
66.86 of 100Reported as individual
Quality
39.74
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions401
Removal or shaving of skin growth23
Skin biopsy97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31630KYMDDermatology Physician
35-068727OHMDDermatology Physician
35.068727OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Coldiron MD Single Specialty CurrentSince Jun 1, 2010 Accepting new patients
City Dermatology and Laser Single Specialty Past Accepting new patients
Skin Cancer Center Inc Past Accepting new patients

Locations

3024 Burnet Ave
Cincinnati, OH 45219
Phone (513) 221-2828

580 Walnut St
Ste P160
Cincinnati, OH 45202

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1841200466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST 4TH STREET",
            "address_2": "SUITE 2200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45202",
            "telephone_number": "513-421-3376",
            "fax_number": "513-618-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST 4TH STREET",
            "address_2": "SUITE 2200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45202",
            "telephone_number": "513-421-3376",
            "fax_number": "513-618-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-068727",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "31630",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.068727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64316300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.