Samuel George Longfellow (NPI# 1851771943, PAC ID# 9830445196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851771943 |
| PAC ID by PECOS | 9830445196 |
| Professional Enrollment ID | I20180629000647 |
| Full Name | Samuel George Longfellow |
| Organization Legal Name | CATHOLIC HEALTH INITIATIVES COLORADO |
| Address |
902 Lakeview Ave Pueblo CO 81004-3597 |
| Phone Number | 7195575855 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8022927342 |
| Number of Group Practice Members | 668 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060020 | PARKVIEW MEDICAL CENTER INC |
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 902 Lakeview Ave, Pueblo, CO 81004-3597 | 7195575855 | CATHOLIC HEALTH INITIATIVES COLORADO |
| Organization Legal Name | CATHOLIC HEALTH INITIATIVES COLORADO |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herbert N Sutherland | Emergency Medicine | Catholic Health Initiatives Colorado | 1252 County Rd, 8 St Anthony Keystone Medical Clinic, Keystone, CO 80435 |
| Stephen J Mattichak | Interventional Cardiology | Catholic Health Initiatives Colorado | 1 Mercado St, Suite 130, Durango, CO 81301-7306 |
| Fernando Guarderas | Family Medicine | Catholic Health Initiatives Colorado | 2430 Research Pkwy, Colorado Springs, CO 80920-1093 |
| Jason Pereira | Internal Medicine | Catholic Health Initiatives Colorado | 11750 W 2nd Pl, 365 Chpg PC Metro C, Lakewood, CO 80228-1731 |
| Marilyn Ann Nguyen | Family Medicine | Catholic Health Initiatives Colorado | 11310 Huron St, Suite 100, Northglenn, CO 80234-3090 |
| Alan E Evans | Diagnostic Radiology | Catholic Health Initiatives Colorado | 11700 W 2nd Pl, 100 Colorado Breast Imaging, Lakewood, CO 80228-1707 |
| Dorothy L. Saune | Family Medicine | Catholic Health Initiatives Colorado | 3027 N Circle Dr, Colorado Springs, CO 80909-1179 |
| Hailey Brooke Holland | Family Medicine | Catholic Health Initiatives Colorado | 14300 Orchard Pkwy, Westminster, CO 80023-9206 |
| Bryce Kenneth Galbraith | Family Medicine | Catholic Health Initiatives Colorado | 4075 E 128th Ave, Thornton, CO 80241-2201 |
| Jennifer Lizabeth Manganello | Nurse Practitioner | Catholic Health Initiatives Colorado | 2551 W 84th Ave, Centura Health Pallative Care Chic, Westminster, CO 80031-3807 |
| Street Address |
902 LAKEVIEW AVE |
| City | PUEBLO |
| State | CO |
| Zip | 81004-3597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren E. Sullenberger | Internal Medicine | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Taylor Nicole Knese | Nurse Practitioner | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Sravanthi S Paritala | Family Medicine | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Elizabeth Ellen Cerrentano | Nurse Practitioner | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Joel L Dickerman | Family Practice | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Mariel Kareen Bryden | Family Practice | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Brian A Bentz | Nurse Practitioner | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Scott Michael Davidson | Family Practice | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Benjamin J Bryden | Family Practice | Catholic Health Initiatives Colorado | 902 Lakeview Ave, Pueblo, CO 81004-3597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Mcbride-wilson | Nurse Practitioner | Health Solutions | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 |
| Teresa J Marshall | Psychologist, Clinical | 635 W Corona Ave, Suite 203, Pueblo, CO 81004-1210 | |
| Lynne M Evetts | Nurse Practitioner | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Carly A Lacroix | Osteopathic Manipulative Medicine | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Jill Pollock | Psychologist, Clinical | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Stephanie D Bellah | Chiropractic | 824 W Abriendo Ave, Pueblo, CO 81004-1547 | |
| Scott C Cuthbert | Chiropractic | 255 W Abriendo Ave, Pueblo, CO 81004-1870 | |
| Michael Rosen Pyros | Chiropractic | Chiropractic Health Center PC | 255 W Abriendo Ave, Pueblo, CO 81004-1870 |
| Kimberly Coffman | Clinical Social Worker | A New Leaf Therapy LLC | 327 Colorado Ave, Pueblo, CO 81004-2005 |
| Robert J Graham | Chiropractic | Young and Graham, P.C. | 301 Colorado Ave, Pueblo, CO 81004-2005 |
| Find all physicians in zip 81004 | |||
| City | PUEBLO |
| Zip Code | 81004 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PUEBLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel George Longfellow.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.