Eric W Longenbach (NPI# 1922068162, PAC ID# 0042346397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922068162 |
| PAC ID by PECOS | 0042346397 |
| Professional Enrollment ID | I20100326000058 |
| Full Name | Eric W Longenbach |
| Organization Legal Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Address |
217 King St Laporte PA 18626 |
| Phone Number | 2158716770 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648179234 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390236 | GUTHRIE TOWANDA MEMORIAL HOSPITAL |
| 390045 | WILLIAMSPORT REGIONAL MEDICAL CENTER |
| 391301 | MUNCY VALLEY HOSPITAL |
| 390006 | GEISINGER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 217 King St, Laporte, PA 18626 | 2158716770 | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| King and Main St, Sullivan Cty Med Ctr, Laporte, PA 18626 | 5709465101 | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Organization Legal Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Indhu Prabhakaran | Family Medicine | Philadelphia College of Osteopathic Medicine | 2100 W Cambria St, Philadelphia, PA 19132-2668 |
| Lauren Noto Bell | Osteopathic Manipulative Medicine | Philadelphia College of Osteopathic Medicine | 4190 City Ave, Suite 315, Philadelphia, PA 19131-1633 |
| William A Delp Jr. | Family Medicine | Philadelphia College of Osteopathic Medicine | 625 Old Peachtree Rd Nw, Suite 104, Suwanee, GA 30024-2937 |
| Izola B David | Pediatric Medicine | Philadelphia College of Osteopathic Medicine | 4148 Lancaster Ave, Philadelphia, PA 19104-1727 |
| Kristen Berry | Family Medicine | Philadelphia College of Osteopathic Medicine | 4190 City Line Ave, Suite 100, Philadelphia, PA 19131-1627 |
| George N Spyropoulos | Family Medicine | Philadelphia College of Osteopathic Medicine | 4190 City Ave, Suite 315, Philadelphia, PA 19131-1633 |
| Kenneth J Veit | Family Medicine | Philadelphia College of Osteopathic Medicine | 4190 City Ave, Suite 315, Philadelphia, PA 19131-1633 |
| Arthur J Sesso | General Surgery | Philadelphia College of Osteopathic Medicine | 4190 City Ave, Suite 315, Philadelphia, PA 19131-1633 |
| Dyanne Westerberg | Family Medicine | Philadelphia College of Osteopathic Medicine | 2100 W Cambria St, Philadelphia, PA 19132-2668 |
| Michael Becker | Family Medicine | Philadelphia College of Osteopathic Medicine | 4190 City Ave, Suite 315, Philadelphia, PA 19131-1633 |
| Street Address |
217 KING ST |
| City | LAPORTE |
| State | PA |
| Zip | 18626 |
| City | LAPORTE |
| Zip Code | 18626 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAPORTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Eric W Longenbach.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.