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

Dr. Amanda Leigh Long, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548601875

Dr. Amanda Leigh Long, DO is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Works from 2 locations. Licensed in Indiana and Michigan.

Licensed in
IN, MI
In the registry since
2013
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2500 Overlook Ter
Madison, WI 53705-2254
Phone: (608) 256-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 W Hospital Rd, Fort Gordon, GA 30905-5741 — (760) 305-7048

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101024409 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 02004620A (IN)

Record details

NPI number1548601875
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 15, 2013
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address3621 S State St, Ann Arbor, MI 48108-1633

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