DR. KELLIE ANN LONGDON (NPI# 1740228683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740228683 |
| Entity Type | Individual |
| Full Name | DR. KELLIE ANN LONGDON |
| Credential | MD |
| Practice Address |
2402 University Pkwy Suite 106, Bldg. 1 Sarasota FL 34243 |
| Practice Telephone | 9413554411 |
| Practice Fax Number | 9413555511 |
| Mailing Telephone | 9413554411 |
| Mailing Fax Number | 9413555511 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | P3920 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME97009 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8EA296 | 01 |
| FL | 276635300 | 05 | |
| TX | 347292001 | 05 |
| Street Address |
2402 UNIVERSITY PKWY SUITE 106, BLDG. 1 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518028 | Global Physician Network LLC Series II | Emergency Medicine | 6331 S Tamiami Trl, Sarasota, FL 34231-3917 | 2017-06-20 |
| 1356605281 | Kevin Edward Steinwachs | Emergency Medicine | 4006 Roberts Point Rd, Sarasota, FL 34242-1162 | 2012-06-26 |
| 1194923797 | James Walter Meade | Emergency Medicine | 4368 Oak View Dr, Sarasota, FL 34232-3469 | 2007-07-05 |
| 1285741850 | Kieran T. Smart | Emergency Medicine | 15 Paradise Plz, 284, Sarasota, FL 34239-6905 | 2006-08-23 |
| 1710929757 | Ehab S Michael | Emergency Medicine | 3535 Fruitville Road, Sarasota, FL 34237-9026 | 2006-06-12 |
| 1427002401 | Frank C. Biondolillo | Emergency Medicine | 13196 Broadstone Ln, Sarasota, FL 34240-8840 | 2006-05-22 |
| 1871546788 | Daphnee Moise-johnson | Emergency Medicine | 15600 Hancock Rd, Sarasota, FL 34240-6701 | 2006-05-19 |
| 1992764849 | Lisa Ashley Tichenor | Emergency Medicine | 5731 Bee Ridge Road, Sarasota, FL 34233 | 2006-03-20 |
| 1821067984 | Howard D Jones | Emergency Medicine | 906 Blvd of The Arts, Sarasota, FL 34236-4825 | 2006-03-14 |
| 1396729588 | Brian M Garby | Emergency Medicine | 1700 S Tamiami Tr, Sarasota, FL 34239 | 2005-12-01 |
| Find all providers in SARASOTA | ||||
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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.