Active NPI
Jennifer J.R. Loomis, AA-C
- Anesthesiologist Assistant
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000123
- Practice address
- 36000 Euclid Ave
Willoughby, OH 44094-4625 - Phone
- (440) 350-0832
- Fax
- (440) 354-7420
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67.000123 | OH | Primary |
Addresses
Primary practice location
36000 Euclid Ave
Willoughby, OH 44094-4625
Mailing address
7757 Auburn Rd Ste 15
Painesville, OH 44077-9604
Phone (440) 350-0832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 350-0832
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.79 of 100
- Quality
- 71.01
- Improvement activities
- 40
- Cost
- 82.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67.000123 | OH | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Current | Accepting new patients | |
| Anesthesia Associates of Savannah ,PA | Past | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150
9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
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.
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487663688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1104919604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7757 AUBURN RD STE 15",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779604",
"telephone_number": "440-350-0832",
"fax_number": "440-354-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944625",
"telephone_number": "440-350-0832",
"fax_number": "440-354-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "JENNIFER",
"middle_name": "J.R.",
"credential": "AA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67.000123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.