P Praxis·MD
● Active Type 1 · Individual

Michael Thomas Long, DO

Student in an Organized Health Care Education/Training Program·Idaho Falls, ID· NPI 1063114742 · Enumerated 2023 · 3 years on NPI
Long is 1 of 70 student in an organized health care education/training program providers in Idaho Falls and 1 of 516 in Idaho.
NPI age
3 years
Enumerated 2023-03-20
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 516 active student in an organized health care education/training program providers in Idaho.

NPI age
3 years
↑ 2 yr above median (1 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
3100 Channing Way
Idaho Falls, ID 834047533
📞 2089732144
Mailing address
3100 Channing Way
Idaho Falls, ID 834047533

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #7771476 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.

Recently enumerated nearby: 15 new student in an organized health care education/training program providers have been added in Idaho Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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