Individual provider Active NPI

Harold James Lochner III, MD

  • Pediatrics Physician
  • Ruskin, FL
National Provider Identifier
1013229087
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101251933 Issued in VA
Practice address
2814 14TH Ave SE
Ruskin, FL 33570-5471
Phone
(181) 365-3610
NPI assigned
Jul 7, 2010
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 0101251933 VA Primary

Addresses

Primary practice location

2814 14TH Ave SE
Ruskin, FL 33570-5471

Mailing address

6522 Greenland Chase Blvd
Jacksonville, FL 32258-9441
Phone (417) 830-5968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719001209 FL Practitioner - Pediatric Medicine 7719301076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101251933VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc CurrentSince Apr 16, 2021 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Apr 16, 2021 Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients

Locations

801 E Baker St
Plant City, FL 33563
Phone (813) 349-7600

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1013229087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 GREENLAND CHASE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589441",
            "telephone_number": "417-830-5968",
            "fax_number": "417-313-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 14TH AVE SE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705471",
            "telephone_number": "181-365-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHNER",
        "first_name": "HAROLD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101251933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

Verify at the official NPI Registry.