JOHN M LONGO MD PC (NPI# 1205011392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205011392 |
| Entity Type | Organization |
| Organization Name | JOHN M LONGO MD PC |
| Practice Address |
311 S Clark St Carroll IA 51401-3038 |
| Mailing Address |
Po Box 284 Carroll IA 51401-0284 |
| Practice Telephone | 7127928265 |
| Practice Fax Number | 7127928264 |
| Mailing Telephone | 7127928265 |
| Mailing Fax Number | 7127928264 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2009-12-22 |
| Authorized Official Name | LORI L STUART (BILLING MANAGER) |
| Authorized Official Telephone | 7122437030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
30135 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
311 S CLARK ST |
| City | CARROLL |
| State | IA |
| Zip Code | 51401-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811835 | John M Longo | Radiology | 311 S Clark St, Carroll, IA 51401-3038 | 2005-09-19 |
| 1003466921 | Sandra M Cayler | Nurse Practitioner | 311 S Clark St, Carroll, IA 51401-3038 | 2019-09-12 |
| 1598327207 | St Anthony Regional Hospital and Nursing Home | Registered Nurse | 311 S Clark St, Carroll, IA 51401-3038 | 2019-07-02 |
| 1073171468 | Mikala Anne Landon | Nurse Practitioner | 311 S Clark St, Carroll, IA 51401-3038 | 2019-05-31 |
| 1548797285 | Debra Dieter | Registered Nurse | 311 S Clark St, Carroll, IA 51401-3038 | 2017-05-12 |
| 1740717487 | Krista Heuton | Dietitian, Registered | 311 S Clark St, Carroll, IA 51401-3038 | 2017-05-12 |
| 1023555638 | Cynthia Jean Johnson | Nurse Practitioner | 311 S Clark St, Carroll, IA 51401-3038 | 2017-01-22 |
| 1497135677 | Matthew Earl | Nurse Anesthetist, Certified Registered | 311 S Clark St, Carroll, IA 51401-3038 | 2015-06-03 |
| 1629460555 | St Anthony Regional Hospital and Nursing Home | Radiology | 311 S Clark St, Carroll, IA 51401-3038 | 2015-03-02 |
| 1790106367 | Des Moines Orthopaedic Surgeons PC | Durable Medical Equipment & Medical Supplies | 311 S Clark St, Ste 285, Carroll, IA 51401-3086 | 2013-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
| 1598397309 | Samantha Anne Ludwig | Pharmacist | 425 Highway 30 West, Suite 140, Carroll, IA 51401 | 2020-02-10 |
| 1265804082 | Katrina (tina) K Wederquist Zanders | Social Worker | 409 1/2 W 7th, Catholic Charities, Carroll, IA 51401 | 2015-10-21 |
| 1508127705 | Carly M. Quam | Family Medicine | 1241 S Grant Road, Carroll, IA 51401 | 2012-06-04 |
| 1033492517 | Daniel Michael G'sell | Pharmacist | 1214 S. Grant Rd., Carroll, IA 51401 | 2011-09-21 |
| 1356510317 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2014 Kitty Hawk Ave, Carroll, IA 51401 | 2008-02-25 |
| 1902075153 | Banks Chiropractic Inc. | Chiropractor | 1420 Hwy. 71 North, Carroll, IA 51401 | 2008-02-21 |
| 1093994261 | Janelle Rae Brungardt | Occupational Therapy Assistant | 2241 Northwest Street, Carroll, IA 51401 | 2007-10-24 |
| 1871780197 | Assisted Living Concepts Inc | Assisted Living Facility | 1024 E 12th Street, Carroll, IA 51401 | 2007-10-01 |
| 1487865267 | Tthomas Charles Lehman | Pharmacist | 859 Highway 30 E, Carroll, IA 51401 | 2007-05-24 |
| Find all providers in zip 51401 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811835 | John M Longo | Radiology | 311 S Clark St, Carroll, IA 51401-3038 | 2005-09-19 |
| 1629460555 | St Anthony Regional Hospital and Nursing Home | Radiology | 311 S Clark St, Carroll, IA 51401-3038 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841731130 | Calvin Lewis | Radiology | 200 Hawkins Dr Dept of Radiation Oncology, Iowa City, IA 52242-1009 | 2017-03-20 |
| 1861871105 | Samuel Schroeder | Radiology | 1221 Pleasant St Ste A100, Des Moines, IA 50309-1428 | 2015-05-19 |
| 1043605140 | Nicholas Basil Loudas | Radiology | 202 10th St Se Ste 195, Cedar Rapids, IA 52403-2433 | 2015-04-06 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| 1659560589 | Wyman Yap Lee | Radiology | 1315 W Agency Rd, West Burlington, IA 52655-1654 | 2007-10-16 |
| 1396873725 | Thomas Charles Lally | Radiology | 3123 Pasadena Ct, Unit 39, Dubuque, IA 52001-0846 | 2007-02-28 |
| 1477602654 | Terrence J Allen | Radiology | 1900 Superior St, Webster City, IA 50595-3146 | 2007-01-09 |
| 1811940356 | Radiation Oncology of Cedar Rapids PC | Radiology | 603 10th St Se, Cedar Rapids, IA 52403-1208 | 2006-05-18 |
| 1871565226 | Farida Rajput | Radiology | 1351 E Kimberly Rd, Ste 200, Bettendorf, IA 52722 | 2006-02-01 |
| 1285604470 | Cassandra S Foens | Radiology | 200 E Ridgeway Ave, Waterloo, IA 50702-5060 | 2006-01-23 |
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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.