Deanne Long MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DEANNE LONG MD LLC

Practice address

2380 N 400 E
Logan, UT 84341-6000

Phone

(435) 713-1354

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Deanne Long, M.D.

Title

Owner

Phone

(435) 713-1350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1891929022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571470",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841571470",
            "telephone_number": "310-388-9012",
            "fax_number": "310-388-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 400 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416000",
            "telephone_number": "435-713-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNE LONG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-713-1350",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Davisson, ATC
• Brandon James Day, CSW
• Isabel Megan Day, RN
• Leland James Dayley
• Graca Maria De Oliveira Costa, PSY D
• Michael Scott Deberard, PHD, M.S., B.A.
• Matthew Edward Deberry
• Krisha Elizabeth Decoursey, MS, RDN
• Monica Pate Dehek
• Lance Charles Delange, FNP

• Surgery Physician in Logan, UT
• Providers in Logan, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.