JOHN JOSPH LONGOBARDO (NPI# 1174606156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174606156 |
| Entity Type | Individual |
| Full Name | JOHN JOSPH LONGOBARDO |
| Credential | D.P.M., M.D. |
| Practice Address |
9124 S Tryon St Suite J Charlotte NC 28273-3114 |
| Practice Telephone | 7045887373 |
| Practice Fax Number | 7045887585 |
| Mailing Telephone | 7045887373 |
| Mailing Fax Number | 7045887585 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
320 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | WELLPATH | 263077 | 01 |
| NC | NC BXBS PROVIDER NUMBER | 0857H | 01 |
| NC | PARTNERS PROVIDER NUMBER | 41856 | 01 |
| SC | PD3204 | 05 | |
| NC | CIGNA | 342391 | 01 |
| NC | PRINCIPAL PROVIDER NUMBER | 34811 | 01 |
| NC | AETNA HMO PROVIDER NUMBER | 2023286 | 01 |
| NC | MEDICAOST PROVIDER NUMBER | 22677 | 01 |
| NC | UNITED HEALTH CARE # | 2741683 | 01 |
| NC | AETNA PPO/POS | 4235524 | 01 |
| NC | PHCS PROVIDER NUMBER | 56412 | 01 |
| NC | 890857H | 05 |
| Street Address |
9124 S TRYON ST SUITE J |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558499046 | Aaa Family Foot Care Center,pllc | Podiatrist | 9124 S Tryon St, Suite J, Charlotte, NC 28273-3114 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376370 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 | 2020-05-01 |
| 1710381777 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 9216 Ardrey Kell Rd Ste 100, Charlotte, NC 28277-4954 | 2014-10-20 |
| 1134463060 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 2607 East Seventh St., Suite 100, Charlotte, NC 28204-4308 | 2012-11-15 |
| 1396099511 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 12610 N Community House Rd Ste 202, Charlotte, NC 28277-3838 | 2012-11-09 |
| 1891046454 | Matthew Borns | Podiatrist | 6831 Fairview Rd, Charlotte, NC 28210-3386 | 2012-09-23 |
| 1821251737 | Michael J. Ryan, Dpm, Pa | Podiatrist | 8912 Blakeney Profession Center, A2, Charlotte, NC 28277 | 2008-07-10 |
| 1770631384 | Michael J Ryan Dpm Pa | Podiatrist | 8310 Medical Plaza Dr Ste E, Charlotte, NC 28262-6703 | 2007-01-08 |
| 1275693509 | Mark Miceli | Podiatrist | 8301 University Exec Park Dr Ste 112, Charlotte, NC 28262-3593 | 2006-12-08 |
| 1871524595 | Charlotte Foot Clinic | Podiatrist | 4016 Wilkinson Blvd, Ste A, Charlotte, NC 28208 | 2006-07-05 |
| 1982650735 | Carmel Foot Specialists, Pa | Podiatrist | 717 S Torrence St, Charlotte, NC 28204-3071 | 2006-05-25 |
| Find all providers in CHARLOTTE | ||||
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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.