Active NPI
Joanne T Longbons, PA-C
- Physician Assistant
- Willoughby, OH
National Provider Identifier
1194944231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.000470
- Practice address
- 36100 Euclid Avenue
Suite 170
Willoughby, OH 44094 - Phone
- (440) 602-6737
- Fax
- (440) 942-0316
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.000470 | OH | Primary |
Addresses
Primary practice location
36100 Euclid Avenue
Suite 170
Willoughby, OH 44094
Mailing address
7590 Auburn Road, Suite 014
Attn: Med Staff Services
Concord TWP, OH 44077-9176
Phone (440) 354-1899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00829222 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.000470 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Chagrin Valley Anesthesia, LLC | Past | Accepting new patients | |
| CV Medical Services, LLC | Past | Accepting new patients |
Locations
7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899
36100 Euclid Ave
Ste 170
Willoughby, OH 44094
Phone (440) 602-6737
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Willoughby, OH
- NPI 1164697629
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Ambulatory Surgical Clinic/Center
- Beachwood, OH
- NPI 1528002490
-
- Medical Physician Assistant
- Beachwood, OH
- NPI 1548405665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1194944231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7590 AUBURN ROAD, SUITE 014",
"address_2": "ATTN: MED STAFF SERVICES",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440779176",
"telephone_number": "440-354-1899",
"fax_number": "440-354-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36100 EUCLID AVENUE",
"address_2": "SUITE 170",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "44094",
"telephone_number": "440-602-6737",
"fax_number": "440-942-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGBONS",
"first_name": "JOANNE",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.000470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00829222",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.