MICHAEL V. LONGO


Address: 593 Eddy St, Providence, RI 02903-4923
Phone: 4014448809

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
125 Metro Center Blvd Ste 2000, Warwick, RI 028861785 4014322520

Other Providers MICHAEL LONGO

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

Office Location

Street Address 593 EDDY ST
City PROVIDENCE
State RI
Zip Code 02903-4923

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PROVIDENCE
Zip Code 02903

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Dataset Information

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.

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