Tyler Jon Long, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

21531 Issued in FL

Practice address

3614 Kiessel Rd
The Villages, FL 32163-2910

Phone

(352) 914-3451

NPI assigned

Apr 21, 2019

Last updated

Jul 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NJ, FL3 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

Specialty

Dermatology

Education

Lake Erie College of Osteopathic Medicine, Bradenton, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Medical PLLCGroup PAC ID 5890216345, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00410

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.

• Long Medical PLLC

  dba SpotDoc Brownwood

  • Dermatology Physician
  • The Villages, FL
  • NPI 1942006069
  Medicare reassignment Care Compare group NPD Authorized official
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Skin & Laser Center of NJ, LLC

  • Dermatology Physician
  • Ramsey, NJ
  • NPI 1518310366
  Medicare reassignment NPD

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1851954242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 KIESSEL RD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632910",
            "telephone_number": "352-914-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 KIESSEL RD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632910",
            "telephone_number": "352-914-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TYLER",
        "middle_name": "JON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB12236700",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "21531",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "21531",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0116034370",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "21531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Locher-Claus, D.D.S.
• John Vincent Logomarsino, PHD, RD, LD/N
• William Scott Lohner, M.D.
• Mary Lombardi, PA-C
• Long Medical PLLC (SpotDoc Brownwood)
• Christine Marie Longo, LMT
• David James Lonneman Jr., PHARMD
• Rafael Lopez Torres, M.D.
• Maria Teresa Lopez, RPT
• Matthew William Loughlin, M.D.

• Dermatology Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.