DR. JACK WILEY DELONG M.D.
NPI 1356349039
Otolaryngology in Sarasota, FL

Q: What is Jack Delong's NPI number?

The NPI number for Jack Delong is 1356349039. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Jack Delong's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Delong was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 07, 2005

1900 BROTHER GEENEN WAY, SARASOTA, FL 34236(941) 556-3220(941) 955-8214 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jack Wiley Delong M.d. NPPES

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

DR. JACK WILEY DELONG M.D. (NPI 1356349039) is an individual otolaryngology provider in Sarasota, Florida, licensed in Michigan (4301029955) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1356349039

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JACK WILEY DELONGCredential: M.D.

Location Address1900 BROTHER GEENEN WAYSarasota, FL 34236-7102

Mailing Address111 W 24th StHolland, MI 49423-4791 · (616) 396-2325 · Fax (616) 396-0317

Phone(941) 556-3220

Fax(941) 955-8214

Sole ProprietorNo

Enumeration DateJuly 7, 2005

Last NPPES UpdateAugust 14, 2019

✔ NPI 1356349039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MI · 4301029955

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1900 BROTHER GEENEN WAY, Sarasota, FL 34236

Open in Google Maps ↗

Other Identifiers 2

OtherP52387MI · Bcn Michigan

Medicaid102005454MI

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.

SUZANNE STEELMAN M.D.

Surgery