Individual provider Active NPI

Sidney M Longwell Jr., MD

  • Emergency Medicine Physician
  • Omaha, NE
National Provider Identifier
1184759029
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.025714 Issued in LA
Practice address
981150 Nebraska Medical Ctr
Omaha, NE 68198-1150
Phone
(402) 559-6705
NPI assigned
Feb 22, 2007
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23313 NE
Emergency Medicine Physician 207P00000X MD.025714 LA Primary

Addresses

Primary practice location

981150 Nebraska Medical Ctr
Omaha, NE 68198-1150

Mailing address

14922 Ogden St
Omaha, NE 68116-4529
Phone (402) 991-4964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000716 LA Practitioner - Emergency Medicine 2860428703 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.025714LAMDEmergency Medicine Physician
23313NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 14, 2018 Accepting new patients
Red Stick Emergency Group LLC Emergency Medicine CurrentSince Oct 5, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 14, 2018 Accepting new patients
Independence Emergency Group LLC Emergency Medicine CurrentSince Aug 5, 2013 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Van Meter Emergency Physicians Inc. Apmc Emergency Medicine CurrentSince Feb 1, 2012 Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Aug 17, 2018 Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

14105 Highway 73
Ste 100
Prairieville, LA 70769
Phone (225) 402-2600

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Interoperability endpoints

  • Direct secure messaging: slongwell522960@direct.ochsner.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1184759029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14922 OGDEN ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164529",
            "telephone_number": "402-991-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981150 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981150",
            "telephone_number": "402-559-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "SIDNEY",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "23313",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.025714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.