Individual
CHARLES A LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 S. CLIFF AVE, STE 3000, SIOUX FALLS, SD 57105-1061
(605) 322-7600
(605) 322-7601
Mailing address
2400 S MINNESOTA AVE, STE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5192
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028917500
—
MN
05
—
0574087
—
IA
01
—
157L6LO
CC SYSTEMS/ BLUE PLUS
MN
01
—
1909119
ARAZ/ AMERICA'S PPO
SD
01
—
20762
BLUE CROSS
IA
01
—
240862
MIDLANDS CHOICE
SD
01
—
309991034635
PREFERRED ONE
SD
01
—
3300147
MEDICA
SD
01
—
34596
SANFORD HEALTH PLAN
SD
05
—
46022474351
—
NE
01
—
4995936
BLUE CROSS
SD
01
—
5192
DAKOTACARE
SD
01
—
57105Y004
WPS TRICARE
SD
05
—
6004720
—
SD
01
—
HP40616
HEALTHPARTNERS
SD
01
—
P00095104
RR MEDICARE
SD
Enumeration date
02/23/2006
Last updated
12/13/2013
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