# JOHN JOSEPH LONGOBARDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174606156
- **Gender:** Man
- **Credential:** D.P.M., M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 320 | NC | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 12/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0857H | NC BXBS PROVIDER NUMBER | NC |
| 01 | — | 2023286 | AETNA HMO PROVIDER NUMBER | NC |
| 01 | — | 22677 | MEDICAOST PROVIDER NUMBER | NC |
| 01 | — | 263077 | WELLPATH | NC |
| 01 | — | 2741683 | UNITED HEALTH CARE \# | NC |
| 01 | — | 342391 | CIGNA | NC |
| 01 | — | 34811 | PRINCIPAL PROVIDER NUMBER | NC |
| 01 | — | 41856 | PARTNERS PROVIDER NUMBER | NC |
| 01 | — | 4235524 | AETNA PPO/POS | NC |
| 01 | — | 56412 | PHCS PROVIDER NUMBER | NC |
| 05 | — | 890857H | — | NC |
| 05 | — | PD3204 | — | SC |