OrganizationActive
Michael E Longevin Mdsc
NPI 1578870556 · Urology Physician · Peoria, IL
Michael E Longevin Mdsc is a Urology Physician organization in Peoria, IL (NPI 1578870556).
Provider details
- NPI number
- 1578870556
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Longevin, President(309) 692-5828
- License
- 036-072215 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5401 N Knoxville Ave
Suite 112
Peoria, IL 61614-5098
Phone: (309) 692-5828
Fax: (309) 692-5904
Street-level locationGet directions
Mailing address
5401 N Knoxville Ave
Peoria, IL 61614-5098
Registry dates
- Enumerated
- 2010-09-11
- Last updated
- 2010-09-23
Frequently asked questions
- What is Michael E Longevin Mdsc's NPI number?
- Michael E Longevin Mdsc's National Provider Identifier (NPI) is 1578870556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael E Longevin Mdsc?
- Michael E Longevin Mdsc is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael E Longevin Mdsc located?
- Michael E Longevin Mdsc's practice location on file with NPPES is 5401 N Knoxville Ave, Peoria, IL 61614-5098.
- What is Michael E Longevin Mdsc's phone number?
- The practice phone number listed in the NPPES registry for Michael E Longevin Mdsc is (309) 692-5828.
- Who is the authorized official for Michael E Longevin Mdsc?
- The authorized official listed on Michael E Longevin Mdsc's NPPES record is Michael Longevin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael E Longevin Mdsc's NPI active?
- Yes — Michael E Longevin Mdsc's NPI (1578870556) is active in the NPPES registry as of the last update on 2010-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.