Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Baolong DO

Individual provider Family Nurse Practitioner · NPI 1891338059

Baolong DO is a Nurse Practitioner in Guymon, Oklahoma. Qualified in 2019, 7 years ago. Practices with Southwest Medical Center, a 62-clinician group and accepts Medicare assignment. Licensed in Kansas and Oklahoma.

Years since qualifying
7
Licensed in
KS, OK
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

123 Medical Dr
Guymon, OK 73942-3606
Phone: (580) 338-3361
Fax: (580) 338-1021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 134792 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 53-79076-102 (KS)

Record details

NPI number1891338059
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing addressPo Box 1340, Liberal, KS 67905-1340

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southwest Medical Center — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Guymon