Active NPI
Evan Andrew Longfield
- Otolaryngology Physician
- Harker Heights, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- R3553
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3553 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHP Texas MD Services, Inc | Otolaryngology | Current | 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
- 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.
-
- General Practice Physician
- Harker Heights, TX
- NPI 1841562667
Otolaryngology, TX
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.