MICHAEL V. LONGO (NPI# 1679955959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679955959 |
Entity Type | Individual |
Full Name | MICHAEL V. LONGO |
Credential | M.D. |
Practice Address |
593 Eddy St Providence RI 02903-4923 |
Practice Telephone | 4014448809 |
Mailing Telephone | 4014448809 |
Enumeration Date | 2015-06-23 |
Last Update Date | 2020-04-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD15970 | RI | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
LP03595 | RI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
125 Metro Center Blvd Ste 2000, Warwick, RI 028861785 | 4014322520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023162443 | Michael James Longo | Chiropractor | 600 Wooster St, Lodi, OH 44254-1326 | 2007-01-23 |
1497375828 | Michael Longo | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0012 | 2020-04-27 |
1740770981 | Michael J.a. Longo | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2018-05-14 |
1114228210 | Michael Anthony Longo | Physician Assistant | Hsc T12 Rm 080, Stony Brook, NY 11794 | 2010-11-06 |
1144450446 | Michael J Longo | Counselor | 85 E Newton St, Best Program, Boston, MA 02118-2340 | 2009-07-21 |
1821183377 | Michael Longo | Dentist | 310 Main Street, East Haven, CT 06512 | 2006-10-03 |
1508838467 | Michael Joseph Longo | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-02-06 |
1528053600 | Michael Longo | Internal Medicine | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2005-09-15 |
Street Address |
593 EDDY ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02903-4923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
Find all providers in zip 02903 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386807410 | Christina Pinto | Radiology | 2 Angell St, # 4, Providence, RI 02903-2704 | 2008-07-09 |
1144880063 | John Scaringi | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-06-13 |
1891288627 | Andrew Marc Tareila | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-06 |
1215468814 | Michael Coyne Kavanaugh | Radiology | 593 Eddy St, Providence, RI 02903 | 2017-03-24 |
1700273679 | Justin Wesley Mccool | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2015-04-18 |
1164817813 | Franklin Javier Danger | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2015-03-31 |
1295149565 | William Samuel Einhorn | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2014-06-16 |
1235542655 | Aaron W. P. Maxwell | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2014-06-03 |
1275973521 | Alison R Hart | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2013-07-01 |
1780021824 | Nirav Makwana | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2013-05-30 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02903 |
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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.