LISA L. LOFTIS, D.D.S., P.A. (NPI# 1558452409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558452409 |
| Entity Type | Organization |
| Organization Name | LISA L. LOFTIS, D.D.S., P.A. |
| Practice Address |
306 S Ash St Malvern AR 72104-3918 |
| Practice Telephone | 5013324979 |
| Practice Fax Number | 5013377097 |
| Mailing Telephone | 5013324979 |
| Mailing Fax Number | 5013377097 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LISA LYNN LOFTIS (OWNER) |
| Authorized Official Telephone | 5013324979 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 2905 | AR | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| QUAL CHOICE | 03090017900 | 01 | |
| UNITED CONCORDIA | 831360 | 01 | |
| BLUECROSS BLUESHIELD FED | 58744 | 01 |
| Street Address |
306 S ASH ST |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710078803 | Lisa Lynn Loftis | Dentist | 306 S Ash St, Malvern, AR 72104-3918 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1871039883 | Systemic Family Therapy LLC | Preferred Provider Organization | 17724 I 30 Ste 2 Ofc 5, Benton, AR 72019-2907 | 2017-01-13 |
| 1467817148 | Harrison Pediatrics | Preferred Provider Organization | 1418 Mccoy Dr, Harrison, AR 72601-2411 | 2015-12-22 |
| 1275922833 | Dr. Sidney H. Simpson P. A. | Preferred Provider Organization | 1142 Highway 71 S, Suite D, Mena, AR 71953-8078 | 2015-01-20 |
| 1700284163 | Cox Family Practice | Preferred Provider Organization | 2015 Main Street, Hope, AR 71801 | 2014-12-16 |
| 1871990358 | Arkansas Quality Therapy Co. | Preferred Provider Organization | 14105 Skyline Dr, Alexander, AR 72002-1824 | 2014-11-26 |
| 1396182093 | Elite Men's Health | Preferred Provider Organization | 311 S Church St, Suite G, Jonesboro, AR 72401-2913 | 2013-06-04 |
| 1659718419 | Systemedic | Preferred Provider Organization | 10809 Executive Center Dr Ste 105, Little Rock, AR 72211-6020 | 2013-06-03 |
| 1659696276 | Elite Medical Connections, LLC | Preferred Provider Organization | 1023 Skyline Drive, Alexander, AR 72002 | 2010-04-07 |
| 1508010398 | Gale Annette Barker | Preferred Provider Organization | 178 Pinehaven Dr, Winslow, AR 72959-2500 | 2008-11-06 |
| Find all providers with the same taxonomy | ||||
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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.