Doug Robert Longo I (NPI# 1003276866, PAC ID# 2668769316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003276866 |
| PAC ID by PECOS | 2668769316 |
| Professional Enrollment ID | I20171107001438 |
| Full Name | Doug Robert Longo I |
| Organization Legal Name | SLH PHYSICIANS LLC |
| Address |
3635 Vista Ave Saint Louis MO 63110-2539 |
| Phone Number | 3145778000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830132653 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260105 | ST LOUIS UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3635 Vista Ave, Saint Louis, MO 63110-2539 | 3145778000 | SLH PHYSICIANS LLC |
| Organization Legal Name | SLH PHYSICIANS LLC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista L Lentine | Nephrology | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Bruce R Bacon | Gastroenterology | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Chintalapati Varma | General Surgery | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Mohammed Eyad Yaseen Alsabbagh | Gastroenterology | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Mark A Mason | Family Medicine | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Emily Ann Fite | Emergency Medicine | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Leslie S Brooks | Nurse Practitioner | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Jo A Benn | Nurse Practitioner | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Alexis Nicole Guenette | Infectious Disease | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Jennifer L Johnson | Nurse Practitioner | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Street Address |
3635 VISTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63110-2539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon M Grabosch | Gynecological Oncology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Kristin M Salmon | Physician Assistant | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Jacob Manoj Kitchener | Interventional Radiology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Christopher Kim | Orthopedic Surgery | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Mary L Ponder | Certified Registered Nurse Anesthetist (crna) | Ssm Health Slu Hospital Anesthesia Physician Billing LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Punita Tripathi | Anesthesiology | Ssm Health Slu Hospital Anesthesia Physician Billing LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Thomas J Revak | Orthopedic Surgery | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Shamseldeen Mahmoud | Diagnostic Radiology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Luther J Willmore | Neurology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Krista L Lentine | Nephrology | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue M Katzer | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6180 S Creekside Dr, Cudahy, WI 63110 |
| Theresa M Spitznagle | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Kathleen A Dolan | Occupational Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Meredith M Whitehead | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Carrie L Mosley | Qualified Speech Language Pathologist | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Rebecca D Hamm | Occupational Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Jennifer A Miller Katsafanas | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Stacy Lynne Tylka | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Jennifer A Dubbert | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Donna L Schroeder | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Find all physicians in zip 63110 | |||
| City | SAINT LOUIS |
| Zip Code | 63110 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Doug Robert Longo I.
| 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.