| Nathan B Long, MD | |
|
3000 Hospital Dr, Batavia, OH 45103-1921 | |
| (513) 732-8587 | |
| Not Available |
| Full Name | Nathan B Long |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 3000 Hospital Dr, Batavia, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417175746 | NPI | - | NPPES |
| 000000515907 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35087722 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bethesda North | Cincinnati, OH | Hospital |
| Good Samaritan Hospital | Cincinnati, OH | Hospital |
| Mccullough-hyde Memorial Hospital | Oxford, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tristate Img (imaging Medical Group) Inc | 6204732365 | 41 |
| Entity Name | Tristate Img (imaging Medical Group) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114927209 PECOS PAC ID: 6204732365 Enrollment ID: O20031209001075 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan B Long, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617 | Nathan B Long, MD 3000 Hospital Dr, Batavia, OH 45103-1921 Ph: (513) 732-8587 |
Katrina Overbey, RT(R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 4604 Northridge Dr, Batavia, OH 45103 Phone: 513-623-0159 | |
Dr. Foroogh K Jazy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3020 Hospital Dr, Batavia, OH 45103 Phone: 513-984-6786 Fax: 513-984-0622 |