Charles E Longmoor, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

105540 Issued in MO

Practice address

1100 Kentucky Avenue
West Plains, MO 65775

Phone

(417) 256-9111

Fax

(417) 257-5838

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boonslick Medical Group Inc

  • Diagnostic Radiology Physician
  • Saint Charles, MO
  • NPI 1972666162
  NPD (past)
• Metro Imaging, LLC

  • Diagnostic Radiology Physician
  • Creve Coeur, MO
  • NPI 1760578496
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Diagnostic Radiology

  NPD (past)
• Radiologic Imaging Consultants, LLP

  • Diagnostic Radiology Physician
  • St Charles, MO
  • NPI 1871689505
  NPD (past)
• Radcare of Texas PLLC

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1164470845
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043250301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 LEMAY FERRY RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631251253",
            "telephone_number": "800-354-1088",
            "fax_number": "314-631-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KENTUCKY AVENUE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "417-256-9111",
            "fax_number": "417-257-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGMOOR",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "105540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstien Loman
• Louisa Lomax, MD
• Connie Sue Long
• Deborah C Long
• Jennifer Suzanne Long, PSYD
• Ashlee Lonon, PHARM.D.
• Andrea Loomis
• Paul Jay Loop, MD
• Micheline Loring
• Lisa Lynn Lovan

• Diagnostic Radiology Physician in West Plains, MO
• Providers in West Plains, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.