Lance Spencer Longmore, D.O.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

O-0711 Issued in ID

Practice address

1515 E Clark St
Pocatello, ID 83201-4133

Phone

(208) 233-2273

Fax

(208) 417-0272

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardiovascular Specialists of America LLCGroup PAC ID 1557773934, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316
• Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
• Power County Hospital District Hospital, American Falls, ID, CCN 131304
• Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cardiovascular Specialists of America, LLC

  • Clinical Cardiac Electrophysiology Physician
  • Pocatello, ID
  • NPI 1871190215
  Medicare reassignment Care Compare group NPD Authorized official
• Family Practice Group, P.a.

  dba InterMountain Medical Clinic

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1205869310
  Medicare reassignment NPD
• Diagnostic Imaging Service of Idaho

  • Radiography Radiologic Technologist
  • Pocatello, ID
  • NPI 1508875360
  NPD
• Family Practice Group, P.a.

  dba Intermountain Medical Clinic

  • Cardiac Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1912723214
  NPD
• Mountain Valley Imaging Partners

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Pocatello, ID
  • NPI 1770167736
  NPD
• Pocatello Health Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pocatello, ID
  • NPI 1154089126
  NPD
• Pocatello Health Services, LLC

  dba Portneuf Medical Practices

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1215165485
  NPD
• Pocatello Health Services, LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1689802852
  NPD
• Teton Cardiovascular and Pulmonary Lab,LLC

  dba Snake River Cardiovascular & Pulmonary Laboratory

  • Physiological Laboratory
  • Idaho Falls, ID
  • NPI 1699784413
  NPD

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

• Bear Lake County Memorial Hospital

  • Critical Access Hospital
  • Montpelier, ID
  • NPI 1336125533
  Care Compare affiliation
• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  Care Compare affiliation
• Oneida County Hospital

  • Critical Access Hospital
  • Malad, ID
  • NPI 1609826270
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Medical Center

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation
• Power County Hospital District

  • Critical Access Hospital
  • American Falls, ID
  • NPI 1609874932
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1447266267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E CLARK ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014133",
            "telephone_number": "208-233-2273",
            "fax_number": "208-417-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E CLARK ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014133",
            "telephone_number": "208-233-2273",
            "fax_number": "208-417-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832015175",
            "country_code": "US",
            "telephone_number": "208-239-1000",
            "fax_number": "208-239-1934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 S Woodruff Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046371",
            "country_code": "US",
            "telephone_number": "208-523-3050",
            "fax_number": "208-523-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGMORE",
        "first_name": "LANCE",
        "middle_name": "SPENCER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O-0711",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "O-0711",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "ID",
            "license": "O-0711",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "ID",
            "license": "O-0711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Amy Lloyd
• Becky Lobo
• Tiffanie Diane Long, LCPC
• Nicholas Longe, DO
• Julie Longmore Adams
• Ryan Bradley Longmore, D.O.
• Longshot Enterprises, Inc. (Home Helpers Home Health)
• Katie Looper
• Nicole Lopez
• Cory Bryant Louie

• Clinical Cardiac Electrophysiology Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Cardiac Electrophysiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.

Verify at the official NPI Registry.