DR. ERIC WARREN LONGENBACH (NPI# 1922068162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922068162 |
| Entity Type | Individual |
| Full Name | DR. ERIC WARREN LONGENBACH |
| Credential | MD |
| Practice Address |
217 King St Laporte PA 18626 |
| Mailing Address |
Po Box 824112 Philadelphia PA 19182-4112 |
| Practice Telephone | 5709465101 |
| Practice Fax Number | 5709464341 |
| Mailing Telephone | 2158716910 |
| Mailing Fax Number | 2158716905 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD027396E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 923651 | 01 |
| PA | 000945182 | 05 | |
| PA | UNITEDHEALTHCARE | 177535 | 01 |
| PA | FIRST PRIORITY HEALTH | 001730 | 01 |
| PA | HIGHMARK BLUE SHIELD | 138091 | 01 |
| PA | HEALTHAMERICA | B38831 | 01 |
| Street Address |
217 KING ST |
| City | LAPORTE |
| State | PA |
| Zip Code | 18626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780010587 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 217 King St, Laporte, PA 18626-9800 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821531971 | A Better Today, Inc. | Community/Behavioral Health | 245 Muncy Street, Sullivan County Courthouse, Laporte, PA 18626 | 2016-11-22 |
| 1205247319 | Bethany Suzanne Genevro | Speech-Language Pathologist | 918 Main Street, Laporte, PA 18626 | 2014-05-12 |
| 1922385145 | Jessica Mcfadden | Speech-Language Pathologist | 918 Main St., Laporte, PA 18626 | 2011-11-16 |
| 1295955813 | Lynda Anne Ambrose | Pharmacist | Main and King Street, Laporte, PA 18626 | 2007-04-26 |
| 1629158910 | Universal Medical Suppliers Inc | Pharmacy | Main and King Sts, Laporte, PA 18626 | 2006-10-17 |
| 1194239640 | Andrea Lynn Jensen | Speech-Language Pathologist | 918 Main Street, Laporte, PA 18626 | 2017-11-20 |
| 1063704500 | Sullivan County Action,inc. | Dental Hygienist | 217 King Street, Laporte, PA 18626 | 2011-05-03 |
| 1891093001 | Mental Health Associates of North Central Pa | Clinic/Center | Main and King Street, Laporte, PA 18626 | 2011-03-11 |
| 1891816948 | Northern Tier Counseling, Inc | Psychiatry & Neurology | Main Street, Laporte, PA 18626 | 2007-04-03 |
| 1366490864 | Guardian Elder Care At Laporte LLC | Skilled Nursing Facility | 918 Main St, Laporte, PA 18626 | 2006-05-05 |
| Find all providers in zip 18626 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174559900 | Freeman L. Farrow | Family Medicine | 900 I Street, Laporte, IN 46350 | 2006-06-23 |
| 1457312357 | Gary H Wheeland | Family Medicine | 500 Legacy Plaza West, Laporte, IN 46350-5254 | 2006-03-30 |
| 1114926920 | Samuel Edwin Schrack | Family Medicine | 217 King Street, Laporte, PA 18626-0095 | 2005-07-14 |
| 1639129117 | Beacon Medical Group, Inc. | Family Medicine | 900 I St, Laporte, IN 46350-5533 | 2006-05-12 |
| 1932183449 | Kenneth Daniel Shively | Family Medicine | 900 I St, Laporte, IN 46350-5533 | 2005-11-30 |
| 1598756256 | G Larsen Kneller | Family Medicine | 900 I St, Laporte, IN 46350-5533 | 2005-11-02 |
| 1245228386 | Michael Duane Howard | Family Medicine | 900 I St, Laporte, IN 46350-5533 | 2005-10-12 |
| 1295723542 | Daniel Evar Edquist | Family Medicine | 900 I St, Laporte, IN 46350-5533 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ERIC WARREN LONGENBACH.
| 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.