Active NPI
John Longano, MD
- Emergency Medicine Physician
- Sheboygan, WI
National Provider Identifier
1295711067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-059397
- Practice address
- 3100 Superior Ave
Sheboygan, WI 53081-1948 - Phone
- (414) 290-6715
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 36059397 | IL | |
| Internal Medicine Physician | 207R00000X | 036-059397 | IL | |
| Emergency Medicine Physician | 207P00000X | 036-059397 | IL | Primary |
Addresses
Primary practice location
3100 Superior Ave
Sheboygan, WI 53081-1948
Mailing address
111 E Wisconsin Ave Ste 2000
Milwaukee, WI 53202-4809
Phone (414) 290-6715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36959397 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-059397 | IL | MD | Emergency Medicine Physician |
| 36059397 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Kennekuk Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Ihc-Swedishamerican Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| United Occupational Medicine and Walk in Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Ihc-Libertyville Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Occupational Medicine Physician
- Pleasant Prairie, WI
- NPI 1518915073
Emergency Medicine
-
- Emergency Medicine Physician
- Libertyville, IL
- NPI 1053423541
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1093763302
-
- Emergency Medicine Physician
- Danville, IL
- NPI 1659523777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1295711067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE STE 2000",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024809",
"telephone_number": "414-290-6715",
"fax_number": "414-290-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SUPERIOR AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811948",
"telephone_number": "414-290-6715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGANO",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "36059397",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-059397",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-059397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36959397",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.