Maureen Patricia Longworth, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2997 Issued in AK

Practice address

3099 Nowell Ave
119 Seward St, Suite 17
Juneau, AK 99801-1943

Phone

(907) 209-2005

Fax

(907) 523-9355

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Yakutat Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yakutat, AK
  • NPI 1124741665
  NPD (past)
• Yakutat Tribal Health Board

  • Clinic/Center
  • Yakutat, AK
  • NPI 1871529628
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780718387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 NOWELL AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011943",
            "telephone_number": "907-209-2005",
            "fax_number": "907-523-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 NOWELL AVE",
            "address_2": "119 SEWARD ST, SUITE 17",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011943",
            "telephone_number": "907-209-2005",
            "fax_number": "907-523-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWORTH",
        "first_name": "MAUREEN",
        "middle_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Crane Lockridge, O.T.
• Eli Loehrke
• Logan Dental PC
• David Grant Logan, DDS
• Christy Long, MSW
• Heidi Lopez-Coonjohn, MD
• Michelle Lopez
• Carrie Lorensen
• Amy Alisa Lortie, LMT
• Karen Jean Loverink, RN

• Family Medicine Physician in Juneau, AK
• Providers in Juneau, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.