Daniel a Long MD a Professional Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DANIEL A LONG MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

120 Meadowcrest St
#330
Gretna, LA 70056-5255

Phone

(504) 391-7560

Fax

(504) 394-2269

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Daniel A Long, MD

Title

President

Phone

(504) 391-7560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1962702175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MEADOWCREST ST",
            "address_2": "#330",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565255",
            "telephone_number": "504-391-7560",
            "fax_number": "504-394-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEADOWCREST ST",
            "address_2": "#330",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565255",
            "telephone_number": "504-391-7560",
            "fax_number": "504-394-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A LONG MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-391-7560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Crutchfield
• Trang Thuy Cung, D.C.
• D E Smith Consulting LLC
• John P D'Hemecourt Jr., MD
• Thiem Dang, M.D.
• Bertha H Daniels, MD
• Terrion Lashay Daniels, DC
• Dannon W Sutherland DMD LLC
• Darbi Philibert, LLC
• Surbhi Chawla Dargan, MD

• Clinic/Center in Gretna, LA
• Providers in Gretna, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.