Scott D. Long in East Peoria - Pediatric Radiology
Scott D. Long - NPI 1679686679
Scott D. Long is a Pediatric Radiology in East Peoria, Illinois. Scott D. Long practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Scott D. Long is 1679686679. The last update date is 2023-11-29.
Scott D. Long's current location address is 111 Oakwood Rd, East Peoria, Illinois. You can contact this provider via phone number 3097404272. The mailing address for Scott D. Long is 111 Oakwood Rd, East Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott D. Long |
|---|---|
| Address | 111 Oakwood Rd, East Peoria, Illinois |
| Phone Number | 3097404272 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679686679 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2023-11-29 |
Provider Mailing Address Detail
| Address | 111 Oakwood Rd |
|---|---|
| City | East Peoria |
| State | Illinois (IL) |
| Post Code | 616111853 |
| Phone Number | 3097404272 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 36091122 |
|
Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300076361 | IL | RR MEDICARE | |
| 300076348 | IL | RR MEDICARE | |
| 36091122 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Scott D. Long by the Centers for Medicare & Medicaid Services?
The Scott D. Long has been issued the NPI (National Provider Identifier) 1679686679 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Scott D. Long's physical address?
The Scott D. Long is physically located at 111 Oakwood Rd, in the city of East Peoria, IL, with the postal code 616111853.
What is Scott D. Long's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Scott D. Long is Pediatric Radiology, and the taxonomy code that classifies this field of practice is 2085P0229X.
On what date did the Scott D. Long receive the assignment of its 1679686679 from the Centers for Medicare & Medicaid Services?
The Scott D. Long was issued its 1679686679 by the Centers for Medicare & Medicaid Services on 2006-08-16.
When was the information related to Scott D. Long most recently updated or refreshed?
The details pertaining to the Scott D. Long, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-29.
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