Stanton L Longenecker (NPI# 1821092271, PAC ID# 6507879574) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1821092271 |
| PAC ID by PECOS | 6507879574 |
| Professional Enrollment ID | I20060714000092 |
| Full Name | Stanton L Longenecker |
| Organization Legal Name | NORTH FLORIDA SURGEONS PA |
| Address |
836 Prudential Dr Jacksonville FL 32207-8337 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2769381391 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 836 Prudential Dr, Jacksonville, FL 32207-8337 | NORTH FLORIDA SURGEONS PA |
| Organization Legal Name | NORTH FLORIDA SURGEONS PA |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Lynn Kammerdiener | Ophthalmology | North Florida Surgeons Pa | 714 Stockton St, Jacksonville, FL 32204-3402 |
| Edward A Collier Ii | Nurse Practitioner | North Florida Surgeons Pa | 600 E Government St, Pensacola, FL 32502-6136 |
| Francis A Chrzanowski Jr. | Colorectal Surgery (proctology) | North Florida Surgeons Pa | 1617 King St, Jacksonville, FL 32204-4563 |
| John Mitchell Vassallo | Ophthalmology | North Florida Surgeons Pa | 3780 Us Hwy 1 S, St Augustine, FL 32086-7150 |
| Norman A Jones | General Surgery | North Florida Surgeons Pa | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 |
| Garrett A Hauptman | Otolaryngology | North Florida Surgeons Pa | 7135 Nw 11th Place, Suite A, Gainesville, FL 32605-3143 |
| Mcgregor N Lott | Ophthalmology | North Florida Surgeons Pa | 224 Ponte Vedra Park Dr, Suite 300, Ponte Vedra Beach, FL 32082-6604 |
| John D Brinkman | General Surgery | North Florida Surgeons Pa | 1658 St Vincents Way, Suite 210, Middleburg, FL 32068-8459 |
| Richard D Curtis | Orthopedic Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
| Agnes David | General Surgery | North Florida Surgeons Pa | 1370 13th S Ave, Suite 119, Jacksonville Beach, FL 32250-3206 |
| Street Address |
836 PRUDENTIAL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32207-8337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre D.c.p. Macedo Dias | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| John Byron | Psychologist, Clinical | Baptist Behavioral Health LLC | 836 Prudential Dr, Suite 1107, Jacksonville, FL 32207-8338 |
| Jenna D Effron | Physician Assistant | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| Bharat K Gummadi | Interventional Cardiology | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| George G Le-bert | Internal Medicine | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| Sean Joseph Kirby | Physician Assistant | North Florida Surgeons Pa | 836 Prudential Dr, Jacksonville, FL 32207-8337 |
| Robert M Aportela | Pathology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Michael Ibach | Gastroenterology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Salil Jitendra Patel | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| Alexander T Rose | General Surgery | North Florida Surgeons Pa | 836 Prudential Dr, Suite 1001, Jacksonville, FL 32207-8337 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alethea B Brown | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Joseph C Holley | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Richard Alan De La Cruz | Emergency Medicine | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Nancy A Gilliom | Audiologist | Hear Better Centers LLC | 2051 Art Museum Dr, Jacksonville, FL 32207-2512 |
| Theresa B Scully | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Suite 2and3, Jacksonville, FL 32207-3303 |
| Heloise L Murphy | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Jacksonville, FL 32207-3303 |
| Francis X Palmieri | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Joyce G Stoddart | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Eduardo A Sanchez | Psychiatry | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Elena Akra | Psychologist, Clinical | Akra Professional Services | 1551 Atlantic Blvd, Suite 101, Jacksonville, FL 32207-3369 |
| Find all physicians in zip 32207 | |||
| City | JACKSONVILLE |
| Zip Code | 32207 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | JACKSONVILLE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Stanton L Longenecker.
| 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.