MEDICARE: EMMA L. LONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01045980A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5887	OTHER	IN	PHYSICIANS HEALTH PLAN
2	000000241419	OTHER	IN	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5061595	OTHER		AETNA

General Provider Information

NPI Number	:	1902883424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA L. LONG M.D.

Provider Business Mailing Address
First Line	:	1500 PROVIDENT DR
Second Line	:	SUITE A
City	:	WARSAW
State	:	IN
Zip	:	46580-3291
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 PROVIDENT DR
Second Line	:	SUITE A
City	:	WARSAW
State	:	IN
Zip	:	46580-3291
Country	:	US
Telephone Number	:	574-372-7637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	06/24/2013

Similar Medicare Providers

1851357032 — GREGORY NORMAN HAASE DO
Practice Location Address:

1540 PROVIDENT DR
WARSAW, IN
46580-3291

Practice Phone: 574-372-5868
Practice Fax: 574-372-5869

1356324339 — MRS. DAWN THERESA GABRICH MS, ATC
Practice Location Address:

1500 PROVIDENT DR
WARSAW, IN
46580-3291

Practice Phone: 574-372-7671
Practice Fax: 574-372-7625

1144209115 — ORTHOPAEDICS NORTHEAST, PC
Practice Location Address:

1500 PROVIDENT DR , SUITE B
WARSAW, IN
46580-3291

Practice Phone: 574-269-8301
Practice Fax: 574-269-8302

1235179474 — WARSAW HEALTH SYSTEMS, LLC
Practice Location Address:

1520 PROVIDENT DR
WARSAW, IN
46580-3291

Practice Phone: 574-267-3200
Practice Fax:

1205879285 — DANIEL LOUIS LONEY D.O.
Practice Location Address:

1540 PROVIDENT DR
WARSAW, IN
46580-3291

Practice Phone: 574-372-5868
Practice Fax: 574-372-5869

1407960206 — WARSAW HEALTH SYSTEM LLC
Practice Location Address:

1540 PROVIDENT DR
WARSAW, IN
46580-3291

Practice Phone: 574-372-5868
Practice Fax: 574-372-5867

Directions to “ EMMA L. LONG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.