LONGEVITY CLINICAL LTC ASSOCIATES OF WISCONSIN, SC
NPI 1346922143
Family Medicine - Geriatric Medicine in Madison, WI

Active since August 02, 2023
10 E DOTY ST STE 800, MADISON, WI 53703(608) 441-5700 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Longevity Clinical Ltc Associates Of Wisconsin, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY CLINICAL LTC ASSOCIATES OF WISCONSIN, SC (NPI 1346922143) is a healthcare organization registered as a geriatric medicine in Madison, Wisconsin and active in the NPI registry since August 2023. The organization lists Diane L Vincur, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1346922143
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLONGEVITY CLINICAL LTC ASSOCIATES OF WISCONSIN, SC
Location Address10 E DOTY ST STE 800Madison, WI 53703-5105
Mailing Address11780 Us Highway 1 Ste N107North Palm Beach, FL 33408-3007 · (561) 815-2427
Organization SubpartNo
Authorized OfficialDiane L VincurPractice Manager · (561) 815-2427
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1346922143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
10 E DOTY ST STE 800, Madison, WI 53703

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longevity Clinical Ltc Associates Of Wisconsin, Sc's NPI number?

The NPI number for Longevity Clinical Ltc Associates Of Wisconsin, Sc is 1346922143. It was assigned to this organization in the NPPES registry on August 2, 2023.

Where is Longevity Clinical Ltc Associates Of Wisconsin, Sc located?

Longevity Clinical Ltc Associates Of Wisconsin, Sc is located at 10 E Doty St Ste 800, Madison, WI 53703. The listed phone number is (608) 441-5700.

What is Longevity Clinical Ltc Associates Of Wisconsin, Sc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Longevity Clinical Ltc Associates Of Wisconsin, Sc was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.