VINCENT B LONGOBARDO (NPI# 1043207988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043207988 |
Entity Type | Individual |
Full Name | VINCENT B LONGOBARDO |
Credential | DPM |
Practice Address |
19 Miracle Ln Suite 200 Crossville TN 38555-7654 |
Mailing Address |
Po Box 8 Crossville TN 38557-0008 |
Practice Telephone | 9317078352 |
Practice Fax Number | 9317078053 |
Mailing Telephone | 9317078352 |
Mailing Fax Number | 9317078053 |
Enumeration Date | 2005-10-05 |
Last Update Date | 2013-09-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
DPM0000000520 | TN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3352893 | 05 |
Street Address |
19 MIRACLE LN SUITE 200 |
City | CROSSVILLE |
State | TN |
Zip Code | 38555-7654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225025083 | Barrington Holdings Pllc | Podiatrist | 19 Miracle Ln, Suite 200, Crossville, TN 38555 | 2005-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
Find all providers in zip 38555 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225025083 | Barrington Holdings Pllc | Podiatrist | 19 Miracle Ln, Suite 200, Crossville, TN 38555 | 2005-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366619199 | Paul W. Hutchison | Podiatrist | 1723 Highway 51 S Ste C, Covington, TN 38019-3628 | 2008-05-12 |
1891914545 | Michael Warren Lawrence | Podiatrist | 1018 Dallas Rd Ste 304, Chattanooga, TN 37405-2707 | 2007-04-24 |
1093838187 | Paul William Hutchison, Dpm | Podiatrist | 7878 Winchester Road, Memphis, TN 38125 | 2007-04-06 |
1548304405 | Richard S. Eby | Podiatrist | 3603 E Ringgold Rd, Chattanooga, TN 37412-1247 | 2007-02-16 |
1841308244 | Joseph Bernard Neubauer | Podiatrist | 1719 Wiltshire Dr, Murfreesboro, TN 37129-1085 | 2006-08-26 |
1568473320 | Robert J Schreiber | Podiatrist | 1705 Wedgewood Dr, Columbia, TN 38401-3529 | 2006-08-10 |
1750305892 | Gary Marc Mantell | Podiatrist | 5180 Park Ave Ste 220, Memphis, TN 38119-3530 | 2006-07-26 |
1730101734 | Maryville Foot Clinic Inc | Podiatrist | 1515 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2006-07-25 |
1760410260 | Robert Tucker Spalding Jr. | Podiatrist | 1225 Taft Hwy, Signal Mountain, TN 37377-3251 | 2006-06-30 |
1588616098 | Mark B Hellmann | Podiatrist | 1855 Tanner Way Ste 130, Harriman, TN 37748-8331 | 2006-05-16 |
Find all providers with the same taxonomy |
City | CROSSVILLE |
Zip Code | 38555 |
Please comment or provide details below to improve the information on VINCENT B LONGOBARDO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.