CHARLES A LONGO (NPI# 1841266608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841266608 |
| Entity Type | Individual |
| Full Name | CHARLES A LONGO |
| Credential | M.D. |
| Practice Address |
1315 S. Cliff Ave Ste 3000 Sioux Falls SD 57105-1061 |
| Mailing Address |
2400 S Minnesota Ave Ste 100 Sioux Falls SD 57105-3762 |
| Practice Telephone | 6053227600 |
| Practice Fax Number | 6053227601 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053226475 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
5192 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 46022474351 | 05 | |
| SD | WPS TRICARE | 57105Y004 | 01 |
| SD | ARAZ/ AMERICA'S PPO | 1909119 | 01 |
| SD | MEDICA | 3300147 | 01 |
| SD | DAKOTACARE | 5192 | 01 |
| SD | RR MEDICARE | P00095104 | 01 |
| IA | 0574087 | 05 | |
| SD | MIDLANDS CHOICE | 240862 | 01 |
| SD | PREFERRED ONE | 309991034635 | 01 |
| MN | 028917500 | 05 | |
| MN | CC SYSTEMS/ BLUE PLUS | 157L6LO | 01 |
| SD | SANFORD HEALTH PLAN | 34596 | 01 |
| IA | BLUE CROSS | 20762 | 01 |
| SD | BLUE CROSS | 4995936 | 01 |
| SD | 6004720 | 05 | |
| MN | BLUE CROSS | 157L6LO | 01 |
| SD | HEALTHPARTNERS | HP40616 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738365 | Charles Thoms Longo | Surgery | 4250 H St, Suite 3, Sacramento, CA 95819-3441 | 2007-04-13 |
| 1811017890 | Charles R. Longo | Dentist | 514 Towne Dr, Fayetteville, NY 13066-1331 | 2007-03-31 |
| 1700855186 | Charles A Longo | Internal Medicine | 1515 Delhi St, Ste 100, Dubuque, IA 52001-6320 | 2006-03-16 |
| Street Address |
1315 S. CLIFF AVE STE 3000 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841215654 | Diabetes and Endocrine Clinic | Internal Medicine | 1320 S Minnesota Ave Ste 102, Sioux Falls, SD 57105-0656 | 2006-07-13 |
| 1689640187 | Mark J Oppenheimer | Internal Medicine | 3926 S Western Ave, Sioux Falls, SD 57105-6513 | 2006-02-24 |
| 1396711016 | Avera Mckennan | Internal Medicine | 1315 S Cliff Ave Ste 3000, Sioux Falls, SD 57105-1061 | 2006-02-23 |
| 1659375038 | Richard J Barth | Internal Medicine | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2005-06-13 |
| 1760486146 | Thomas A Schultz | Internal Medicine | 1201 S Euclid Ave, Ste 401, Sioux Falls, SD 57105-0403 | 2005-06-13 |
| 1831572684 | Sudan Thapa | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2015-06-29 |
| 1588072532 | Marie Angelica Ang Landicho | Internal Medicine | 1315 S Cliff Ave Ste 3000, Sioux Falls, SD 57105-1061 | 2014-07-22 |
| 1891056982 | Alaa Al Nofal | Internal Medicine | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2012-06-05 |
| 1043598337 | Dakota Endocrinology LLC | Internal Medicine | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2011-08-03 |
| 1811143233 | Ajaz Ahamad Banka | Internal Medicine | 1315 S. Cliff Ave., Ste. 3000, Sioux Falls, SD 57105-1061 | 2008-08-18 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.