John M Longo, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

30135 Issued in IA

Practice address

311 S Clark St
Carroll, IA 51401-3038

Phone

(712) 792-8265

Fax

(712) 792-8264

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jlongo43631@achce.catholichealth.net

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1104811835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 N 57TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322037",
            "telephone_number": "402-556-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-8265",
            "fax_number": "712-792-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "30135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177261",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deann Dorothy Leiting, LMSW
• Lincoln Highway Pharmacy, Inc. (Clinic Pharmacy of Carroll)
• Lincoln Highway Pharmacy, Inc.
• Nelson Lo, MD
• Doreen M Loeffelholz, LISW
• Samantha Anne Ludwig, RPH
• Nathan James Lueth, D.C.
• Lunar Bridge Counseling PLLC
• Mallard View Inc
• Phillip Joseph Markway, R.PH.

• Radiation Oncology Physician in Carroll, IA
• Providers in Carroll, IA by specialty
• Radiation Oncology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.