Active NPI
Paul Jay Loop, MD
- Psychiatry Physician
- West Plains, MO
National Provider Identifier
1003821802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E1288
- Practice address
- 1211 Missouri Ave
West Plains, MO 65775-2105 - Phone
- (417) 257-2454
- Fax
- (417) 256-1119
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E1288 | AR | Primary |
Addresses
Primary practice location
1211 Missouri Ave
West Plains, MO 65775-2105
Mailing address
1211 Missouri Ave
West Plains, MO 65775-2105
Phone (417) 257-2454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-1288 | Other | AR | MEDCICAL LISENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leo N Levi Memorial Hospital Association | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Arkadelphia, AR
- NPI 1720417835
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1568548253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003821802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 MISSOURI AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657752105",
"telephone_number": "417-257-2454",
"fax_number": "417-256-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 MISSOURI AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657752105",
"telephone_number": "417-257-2454",
"fax_number": "417-256-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOP",
"first_name": "PAUL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E1288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCICAL LISENCE",
"identifier": "E-1288",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.