Healthcare Provider Details
I. General information
NPI: 1922191576
Provider Name (Legal Business Name): JAMES J LONGHI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
530 SOUTH ST
GREENSBURG PA
15601-2775
US
IV. Provider business mailing address
520 JEFFERSON AVE
JEANNETTE PA
15644-2538
US
V. Phone/Fax
- Phone: 724-689-1335
- Fax: 724-689-1337
- Phone: 724-527-8060
- Fax: 724-522-4002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 1713 |
| License Number State | WV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 247174 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0127X |
| Taxonomy | Trauma Surgery Physician |
| License Number | 1713 |
| License Number State | WV |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | OS012601 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: