Active NPI
David A Long II, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Moore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 20241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100131980B | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CommunitiesEaglet Health LLC
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20241 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eaglet Health LLC | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1558386474
OK
-
- Endocrinology, Diabetes & Metabolism Physician
- Oklahoma City, OK
- NPI 1750986295
-
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.