DR. MICHELE THERESA LONGO (NPI# 1093928269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093928269 |
| Entity Type | Individual |
| Full Name | DR. MICHELE THERESA LONGO |
| Credential | M.D. |
| Practice Address |
4901 Wills St Metairie LA 70006-1132 |
| Practice Telephone | 5047795421 |
| Mailing Telephone | 5047795421 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
021889 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
4901 WILLS ST |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053347 | Bradley Scott Shore | Radiology | 4901 Wills St, Metairie, LA 70006-1132 | 2005-06-16 |
| 1033428537 | Nrs Arizona, Pa | Radiology | 4901 Wills St, Metairie, LA 70006-1132 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316105182 | Troy Allan Beaucoudray | Psychiatry & Neurology | 3409 Division St, Metairie, LA 70002-4611 | 2008-05-29 |
| 1922293372 | East Jefferson Physicians Group LLC | Psychiatry & Neurology | 4300 Houma Blvd., Ste. 202, Metairie, LA 70006-2924 | 2007-09-10 |
| 1417023748 | Specialized Diagnostics LLC | Psychiatry & Neurology | 3349 Ridgelake Dr, Suite 104, Metairie, LA 70002-3851 | 2006-11-28 |
| 1750347878 | John Kevin Jackson | Psychiatry & Neurology | 2905 Kingman St, Metairie, LA 70006-6615 | 2006-04-26 |
| 1902804933 | Debra L Burris | Psychiatry & Neurology | 110 Veterans Memorial Blvd, Suite 105, Metairie, LA 70005-3027 | 2005-07-13 |
| 1215935275 | Michael T Happel | Psychiatry & Neurology | 110 Veterans Memorial Blvd Ste 325, Metairie, LA 70005-4961 | 2005-07-13 |
| 1891069118 | Daniel J Trahant, Md (apmc) | Psychiatry & Neurology | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2012-03-05 |
| 1780974774 | Frank Jefferson Williams Jr. | Psychiatry & Neurology | 3800 Houma Blvd, Ste 205, Metairie, LA 70006-4151 | 2011-04-12 |
| 1639330996 | Brian Wade Peterson | Psychiatry & Neurology | 3800 Houma Blvd, Suite 205, Metairie, LA 70006-4182 | 2008-06-19 |
| 1003088915 | Amy Wilcox Voigt | Psychiatry & Neurology | 2905 Kingman St, Metairie, LA 70006-6615 | 2008-03-31 |
| Find all providers in METAIRIE | ||||
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| 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.