William E Longenecker, D.O.
Individual provider Active NPI Family Medicine Physician · Brownstown, PA
NPI 1871524751 · NPPES record last updated May 27, 2015
Key facts
- NPI
- 1871524751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS004630L (PA)
- Practice address
- 4131 Oregon Pike
Brownstown, PA 17508 - Phone
- (717) 859-1123
- Fax
- (717) 859-2898
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS004630L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- wlongenecker@direct-address.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS004630L | PA | Yes |
Addresses
Primary practice location
4131 Oregon Pike
Brownstown, PA 17508
Mailing address
4131 Oregon Pike
Suite C
Ephrata, PA 17522-9550
Phone (717) 859-5161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411827 | Other | PA | BLUE SHIELD |
| 0008053410003 | Medicaid | PA | |
| P00256720 | Other | PA | RAILROAD MEDICARE |
| 50051191 | Other | PA | CAPITAL BLUE |
| P002397 | Other | PA | GATEWAY |
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All providers in Brownstown, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.