Long Medical PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LONG MEDICAL PLLC

Practice address

3614 Kiessel Rd
The Villages, FL 32163-2910

Phone

(352) 914-3451

Fax

(352) 415-3952

NPI assigned

Feb 20, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Jon Long, DONPI 1851954242

Title

Owner/Physician

Phone

(352) 914-3451

Specialties & licenses 3

Addresses

Other names 1

• SpotDoc Brownwood Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Jon Long, DO

  • Dermatology Physician
  • The Villages, FL
  • NPI 1851954242
  Medicare reassignment Care Compare group NPD Authorized official
• Ha Kim Nguyen

  • Family Nurse Practitioner
  • The Villages, FL
  • NPI 1801765631
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1942006069",
    "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",
            "fax_number": "352-415-3952"
        },
        {
            "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",
            "fax_number": "352-415-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "352-914-3451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpotDoc Brownwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce I Lobar, MD
• Maria Locher-Claus, D.D.S.
• John Vincent Logomarsino, PHD, RD, LD/N
• William Scott Lohner, M.D.
• Mary Lombardi, PA-C
• Tyler Jon Long, DO
• Christine Marie Longo, LMT
• David James Lonneman Jr., PHARMD
• Rafael Lopez Torres, M.D.
• Maria Teresa Lopez, RPT

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.