NPIMap

Individual provider Active NPI

Laura Lee Longwell, D.O.

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1356633085
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0059503 Issued in CO
Practice address
6615 Delmonico Dr
Colorado Springs, CO 80919-1809
Phone
(719) 364-9494
Fax
(719) 364-9761
NPI assigned
May 13, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PG154867 OR
Internal Medicine Physician 207R00000X DO169510 OR
Internal Medicine Physician 207R00000X DR.0059503 CO Primary

Addresses

Primary practice location

6615 Delmonico Dr
Colorado Springs, CO 80919-1809

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4034

Other practice location 1

12442 SW Scholls Ferry Rd
Suite 106
Tigard, OR 97223-0803
Phone (503) 216-9200

Other practice location 2

12442 SW Scholls Ferry Rd
Suite 106
Tigard, OR 97223-0803
Phone (503) 216-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120000265 CO Practitioner - Internal Medicine 7719128099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

6615 Delmonico Dr
Colorado Springs, CO 80919-1809
Phone (719) 364-9494

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0059503COMDInternal Medicine Physician
DO169510ORMDInternal Medicine Physician
PG154867ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Nov 20, 2017 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 20, 2017 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

175 S Union Blvd
Ste 350
Colorado Springs, CO 80910
Phone (719) 633-5515

6615 Delmonico Dr
Colorado Springs, CO 80919
Phone (719) 364-9494

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

Organizations & group practices 2

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356633085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 DELMONICO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191809",
            "telephone_number": "719-364-9494",
            "fax_number": "719-364-9761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12442 SW SCHOLLS FERRY RD",
            "address_2": "SUITE 106",
            "address_purpose": "LOCATION",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230803",
            "country_code": "US",
            "telephone_number": "503-216-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12442 SW SCHOLLS FERRY RD",
            "address_2": "SUITE 106",
            "address_purpose": "LOCATION",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230803",
            "country_code": "US",
            "telephone_number": "503-216-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "PG154867",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO169510",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0059503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.