Individual provider Active NPI

David A Long II, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Moore, OK
National Provider Identifier
1922065069
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
20241 Issued in OK
Practice address
700 S Telephone Road
Moore, OK 73160
Phone
(405) 793-9355
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 20241 OK Primary
Emergency Medicine Physician 207P00000X 20241 OK

Addresses

Primary practice location

700 S Telephone Road
Moore, OK 73160

Mailing address

6604 Avondale Dr
Nichols Hills, OK 73116-6018

Other identifiers 1

IdentifierTypeStateIssuer
100131980BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20041112000326 OK Practitioner - Emergency Medicine 5597729350 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma Communities 645 clinicians
Eaglet Health LLC 3 clinicians

Practice addresses (Care Compare)

430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323

4401 W Memorial Rd
Suite 135 Premier Infusion Center
Oklahoma City, OK 73134-1787
Phone (405) 442-7577

Hospital & facility affiliations

  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20241OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eaglet Health LLC CurrentSince Aug 1, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 9, 2024 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 9, 2024 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Jun 1, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Dec 1, 2016 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Jun 1, 2022 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients
Mercy Hospital Ada, Inc Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4401 W Memorial Rd
Ste 135
Oklahoma City, OK 73134
Phone (405) 286-1344

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1922065069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 AVONDALE DR",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731166018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELEPHONE ROAD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-793-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "20241",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "20241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131980B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.