NPIMap

Organization Active NPI

Cardiovascular Specialists of America, LLC

  • Clinical Cardiac Electrophysiology Physician
  • Pocatello, ID
National Provider Identifier
1871190215
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
CARDIOVASCULAR SPECIALISTS OF AMERICA, LLC
Practice address
1515 E Clark St
Pocatello, ID 83201-4133
Phone
(000) 000-0000
NPI assigned
Oct 8, 2020
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Lance Spencer Longmore, DONPI 1447266267
Title
Owner
Phone
(208) 760-7707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU Primary

Addresses

Primary practice location

1515 E Clark St
Pocatello, ID 83201-4133

Mailing address

1515 E Clark St
Pocatello, ID 83201-4133

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherPENDING

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208002277 ID Part B Supplier - Clinic/Group Practice 1557773934 Receives reassigned benefits from 9 practitioners
Practice locations: Pocatello, ID

National Provider Directory

National Provider Directory

Locations

220 Bannock St
Ste A
Malad City, ID 83252

1515 E Clark St
Pocatello, ID 83201
Phone (208) 233-2273

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1871190215",
    "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"
        },
        {
            "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": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "LONGMORE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-760-7707",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "1515 E Clark St",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832014133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.