Active NPI
Katherine S Looby, PA-C
- Orthopaedic Surgery of the Spine Physician
- Mesa, AZ
National Provider Identifier
1093903023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 3374
- Practice address
- 1432 S. Dobson Rd
Suite 201
Mesa, AZ 85020 - Phone
- (480) 962-0071
- Fax
- (480) 962-0590
- NPI assigned
- Oct 3, 2007
- Last updated
- Dec 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3374 | AZ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 3374 | AZ | Primary |
Addresses
Primary practice location
1432 S. Dobson Rd
Suite 201
Mesa, AZ 85020
Mailing address
1432 S. Dobson Rd
Suite 201
Mesa, AZ 85020
Phone (480) 962-0071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients | |
| Med 97 LLC | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery of the Spine Physician
- Tempe, AZ
- NPI 1013975333
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1306959218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1093903023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 S. DOBSON RD",
"address_2": "SUITE 201",
"city": "MESA",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "480-962-0071",
"fax_number": "480-962-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 S. DOBSON RD",
"address_2": "SUITE 201",
"city": "MESA",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "480-962-0071",
"fax_number": "480-962-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOBY",
"first_name": "KATHERINE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3374",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "AZ",
"license": "3374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.