KATHLEEN LONG MD
NPI 1154387132
Emergency Medicine in Mishawaka, IN

Active since April 26, 2006
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545(574) 335-5000 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Long Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN LONG MD (NPI 1154387132) is an individual emergency medicine provider in Mishawaka, Indiana, licensed in Indiana (01028072A) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1154387132
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKATHLEEN LONGCredential: MD
Location Address5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENTMishawaka, IN 46545-1469
Mailing Address5215 Holy Cross Pkwy, Emergency DepartmentMishawaka, IN 46545-1469 · (574) 335-5000
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateDecember 16, 2011
NPI 1154387132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01028072A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5215 HOLY CROSS PKWY, Mishawaka, IN 46545

Other Identifiers 5

Other000000181684IN · Anthem
Medicaid100318630IN
Other930101013IN · Rail Road Medicare
Medicaid104340083MI
Medicare ID-Type Unspecified176490DIN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Registered Nurse
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Physician Assistant
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Nurse Practitioner (Neonatal, Critical Care)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Dietitian, Registered
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Nurse Practitioner (Family)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Long's NPI number?

The NPI number for Kathleen Long is 1154387132. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Kathleen Long located?

Kathleen Long practices at 5215 Holy Cross Pkwy Emergency Department, Mishawaka, IN 46545. The listed phone number is (574) 335-5000.

What is Kathleen Long's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Long was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.