VINCENT B LONGOBARDO


Address: 19 Miracle Ln, Suite 200, Crossville, TN 38555-7654
Phone: 9317078352

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
DPM0000000520 TN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3352893 05

Office Location

Street Address 19 MIRACLE LN
SUITE 200
City CROSSVILLE
State TN
Zip Code 38555-7654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225025083 Barrington Holdings Pllc Podiatrist 19 Miracle Ln, Suite 200, Crossville, TN 38555 2005-10-05

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225025083 Barrington Holdings Pllc Podiatrist 19 Miracle Ln, Suite 200, Crossville, TN 38555 2005-10-05

Providers in the same taxonomy and state

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
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Competitor

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City CROSSVILLE
Zip Code 38555

Improve Information

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Dataset Information

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.

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