Organization Active NPI

James Phillip Long DPM PA

  • Podiatrist
  • Dunedin, FL
National Provider Identifier
1891960647
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 601 Issued in FL
Legal business name
JAMES PHILLIP LONG DPM PA
Practice address
210 Patricia Ave
Dunedin, FL 34698-8124
Phone
(727) 736-6741
Fax
(727) 733-6965
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
James Phillip Long, DPM
Title
Doctor
Phone
(727) 736-6741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO 601 FL Primary

Addresses

Primary practice location

210 Patricia Ave
Dunedin, FL 34698-8124

Mailing address

210 Patricia Ave
Dunedin, FL 34698-8124
Phone (727) 736-6741

Other identifiers 1

IdentifierTypeStateIssuer
041218000MedicaidFL

National Provider Directory

National Provider Directory

Locations

210 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-4665

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1891960647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988124",
            "telephone_number": "727-736-6741",
            "fax_number": "727-733-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988124",
            "telephone_number": "727-736-6741",
            "fax_number": "727-733-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PHILLIP LONG DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "727-736-6741",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041218000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.