Individual provider Active NPI

Katherine Anne Longsdorf, MD

  • Family Medicine Physician
  • Ashland, OH
National Provider Identifier
1568468569
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
350-82781-L Issued in OH
Practice address
2111 Claremont Ave
Ashland, OH 44805-3547
Phone
(419) 281-5575
Fax
(419) 289-1677
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 350-82781-L OH Primary

Addresses

Primary practice location

2111 Claremont Ave
Ashland, OH 44805-3547

Mailing address

2111 Claremont Ave
Ashland, OH 44805-3547
Phone (419) 281-5575

Other practice location 1

1033 Ashland Rd Ste 205
Mansfield, OH 44905-2156
Phone (567) 345-3030

Other identifiers 1

IdentifierTypeStateIssuer
2445349MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address katherinelongsdorf@uhps.allscriptsdirect.net
Direct Messaging Address katherinelongsdorf@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040427000446 OH Practitioner - Family Practice 4385631985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • Centerwell Home Health II Home health agency, Solon, OH, CCN 368104
  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350-82781-LOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Samaritan Regional Health System CurrentSince Feb 10, 2025 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2016 Accepting new patients
Samaritan Regional Health System Current Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

663 E Main St
Ste 100
Ashland, OH 44805
Phone (419) 289-1221

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: klongsdorf37018@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 6

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1568468569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 CLAREMONT AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053547",
            "telephone_number": "419-281-5575",
            "fax_number": "419-289-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 CLAREMONT AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053547",
            "telephone_number": "419-281-5575",
            "fax_number": "419-289-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 Ashland Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449052156",
            "country_code": "US",
            "telephone_number": "567-345-3030",
            "fax_number": "567-345-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGSDORF",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "350-82781-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2445349",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherinelongsdorf@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2111 Claremont Ave",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448053547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherinelongsdorf@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1033 Ashland Rd Ste 205",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449052156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.