Individual provider Active NPI

Evan Andrew Longfield

  • Otolaryngology Physician
  • Harker Heights, TX
National Provider Identifier
1417215344
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R3553 Issued in TX
Practice address
800 W Central Texas Expy Ste 205
Harker Heights, TX 76548-1996
Phone
(254) 618-1095
Fax
(254) 618-1101
NPI assigned
Apr 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R3553 TX Primary

Addresses

Primary practice location

800 W Central Texas Expy Ste 205
Harker Heights, TX 76548-1996

Mailing address

1908 N Laurent St Ste 410
Victoria, TX 77901-5469
Phone (361) 572-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170722000089 TX Practitioner - Otolaryngology 5092085183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHP Texas MD Services, Inc 36 clinicians

Practice addresses (Care Compare)

800 W Central Texas Expy
Suite 205
Harker Heights, TX 76548-1996
Phone (254) 457-3743

Hospital & facility affiliations

  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3553TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services, Inc Otolaryngology CurrentSince Jul 1, 2017 Accepting new patients

Locations

800 W Central Texas Expy
Ste 205
Harker Heights, TX 76548
Phone (254) 457-3743

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

100 W Central Texas Expy
Ste 210
Killeen, TX 76548

Interoperability endpoints

  • Direct secure messaging: elongfield263924@ahs.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1417215344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST STE 410",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015469",
            "telephone_number": "361-572-0333",
            "fax_number": "361-371-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY STE 205",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481996",
            "telephone_number": "254-618-1095",
            "fax_number": "254-618-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGFIELD",
        "first_name": "EVAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-28",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R3553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.