Eric Warren Longenbach, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD027396E Issued in PA

Practice address

217 King St
Laporte, PA 18626

Phone

(570) 946-5101

Fax

(570) 946-4341

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)
• Philadelphia College of Osteopathic Medicine

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1316230220
  NPD (past)
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1922068162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824112",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824112",
            "telephone_number": "215-871-6910",
            "fax_number": "215-871-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 KING ST",
            "city": "LAPORTE",
            "state": "PA",
            "postal_code": "18626",
            "telephone_number": "570-946-5101",
            "fax_number": "570-946-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGENBACH",
        "first_name": "ERIC",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD027396E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000945182",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "923651",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "001730",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "B38831",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "177535",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "138091",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Suzanne Genevro, MSCCCSLP
• Guardian Elder Care at Laporte LLC
• Highlands Rehabilitation and Healthcare LLC
• Andrea Lynn Jensen, M.S. CF-SLP
• Laporte Borough Volunteer Fire Comp
• Kasey Mastellar, PT, DPT
• Mental Health Associates of North Central PA
• North Penn Comprehensive Health Services
• Northern Tier Counseling, Inc
• Amber Julia Pedro, PA-C

• Family Medicine Physician in Laporte, PA
• Providers in Laporte, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.