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

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: July 19, 2026.

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
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

Other Identifiers 2

OtherP52387MI · Bcn Michigan
Medicaid102005454MI

Other Providers at the Same Location NPPES 19

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

Internal Medicine
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC.
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC.
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC.
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC.
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC.
SARASOTA, FL 34236
Obstetrics & Gynecology
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC.
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356349039, enumerated as an "individual" on July 07, 2005.

The provider is located at 1900 BROTHER GEENEN WAY SARASOTA, FL 34236 and the phone number is (941) 556-3220.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.