JOHN L LOOMIS JR. (NPI# 1518014018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518014018 |
| Entity Type | Individual |
| Full Name | JOHN L LOOMIS JR. |
| Credential | MD |
| Practice Address |
159 Kercheval Ave Grosse Pointe Farms MI 48236-3610 |
| Mailing Address |
Po Box 670660 Detroit MI 48267-0660 |
| Practice Telephone | 3136402300 |
| Mailing Telephone | 8663218433 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301063207 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073959 | John Loomis | Psychiatry & Neurology | 404 E 55th St Apt Phc, New York, NY 10022-5138 | 2016-06-12 |
| 1306949490 | John Champan Loomis | Dentist | 3 Brigham St, Waterville, ME 04901 | 2006-09-06 |
| 1356878284 | John Nicholas Loomis | Student in an Organized Health Care Education/Training Program | 521 Martin Luther King Jr Way, Tacoma, WA 98405-4238 | 2017-05-23 |
| 1598820318 | John Howard Loomis IIi | Family Medicine | 3336 Pioneer Pkwy, #204, West Valley City, UT 84120-2000 | 2006-12-22 |
| 1487618781 | John S Loomis IIi | Family Medicine | 18750 Se Stark St, Portland, OR 97233-5330 | 2006-04-13 |
| Street Address |
159 KERCHEVAL AVE |
| City | GROSSE POINTE FARMS |
| State | MI |
| Zip Code | 48236-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383921 | John M Hartzell | Surgery | 159 Kercheval Ave, 2nd Floor, Grosse Pointe Farms, MI 48236-3610 | 2005-08-16 |
| 1205462553 | Kristen Robertson | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2020-03-19 |
| 1194351577 | Samantha Powell | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2020-03-18 |
| 1851864185 | Sarah Elizabeth Porter | Behavioral Analyst | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2019-01-09 |
| 1235607078 | Lauren Renee Sawyer | Nurse Practitioner | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-11-09 |
| 1164911434 | Dianna Vanderpool | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-05-02 |
| 1811492135 | Sarah Grace Bowering | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-28 |
| 1306349790 | Christy Ann Schweitzer | Speech-Language Pathologist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-13 |
| 1902308158 | Kelli Roskelly | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-05 |
| 1134621212 | Julie A.m. Nardone | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740295310 | Monica Coello | Emergency Medicine | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2006-07-30 |
| 1063482099 | Nicolo Leone | Emergency Medicine | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2006-01-24 |
| 1043296296 | Shorepointe Emergency Care Physicians PC | Emergency Medicine | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE FARMS |
| Zip Code | 48236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.