GERNON M LONGO (NPI# 1376593707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376593707 |
| Entity Type | Individual |
| Full Name | GERNON M LONGO |
| Credential | MD |
| Practice Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025597300 |
| Practice Fax Number | 4025598985 |
| Mailing Telephone | 4025597300 |
| Mailing Fax Number | 4025598985 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
23374 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47078557580 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555753 | Gernon A Longo | Urology | 7710 Mercy Rd, Ste 608, Omaha, NE 68124-2346 | 2005-06-01 |
| Street Address |
988102 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681940 | Stephanie Ann Kasper | Nurse Anesthetist, Certified Registered | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2005-07-02 |
| 1306396270 | Jill Marie Strahm | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-10-04 |
| 1700330719 | Mary Ursick | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-08-08 |
| 1306203088 | Kyla Jerrick | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-26 |
| 1922464700 | Bridgett Marie Searls | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-08 |
| 1417313669 | Amal Sufian | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-04 |
| 1538533252 | Maggie Marie Conley | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-11-18 |
| 1063882413 | Sydnie Luther | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-09-28 |
| 1245609122 | Rachael Leigh Schmidt | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-09-21 |
| 1053795641 | Deborah Pittock | Social Worker | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346479706 | Anjan Talukdar | Surgery | 515 N 162nd Ave Ste 300, Omaha, NE 68118-2540 | 2009-07-07 |
| 1235325614 | Tammy Kauzlarich Ramos | Surgery | 1301 South 75th Street, Suite 230, Omaha, NE 68124 | 2007-09-19 |
| 1336254143 | Richard J. Feldhaus | Surgery | 7710 Mercy Rd Ste 420, Omaha, NE 68124-2346 | 2006-08-20 |
| 1205940186 | Marcus W. Balters | Surgery | 601 N 30th St # 3700, Omaha, NE 68131-2137 | 2006-08-18 |
| 1922020999 | Heartland Vein and Vascular Institute, P.C. | Surgery | 12702 Westport Pkwy, #101, Omaha, NE 68138-4012 | 2006-07-25 |
| 1215911813 | Scott P. Wattenhofer | Surgery | 515 N 162nd Ave, Suite 300, Omaha, NE 68118-2539 | 2005-12-06 |
| 1568816965 | Serenagroup Professional Services, P.C. | Surgery | 7710 Mercy Rd, Medical Building One Suite 130, Omaha, NE 68124-2372 | 2016-04-21 |
| 1558742486 | Jason Rhede Cook | Surgery | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-06-16 |
| 1831329689 | Jonathan Robert Thompson | Surgery | Emile @ 42nd St, Omaha, NE 68198-0001 | 2009-07-14 |
| 1952554214 | Jason Neal Mactaggart | Surgery | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2008-10-30 |
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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.