Loomis Plastic Surgery, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

LOOMIS PLASTIC SURGERY, PC

Practice address

225 Dolson Ave
Suite 302
Middletown, NY 10940-6569

Phone

(845) 342-6884

Fax

(845) 342-4989

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mario Gabriel Loomis, M.D.

Title

President

Phone

(845) 342-6884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stefan Gary Chevalier, D.O.

  • Plastic Surgery Physician
  • Middletown, NY
  • NPI 1649377094
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1144539008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 DOLSON AVE",
            "address_2": "SUITE 302",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406569",
            "telephone_number": "845-342-6884",
            "fax_number": "845-342-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DOLSON AVE",
            "address_2": "SUITE 302",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406569",
            "telephone_number": "845-342-6884",
            "fax_number": "845-342-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOMIS PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-342-6884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal G Lombardi, LMHC
• Melissa Lombardo, FNP
• Vanessa Lomedico, MSED
• Eric Lonergan, M.D.
• Danielle Marie Long, RN
• Mario G Loomis, MD
• Alicia Lynn Lopez, PTA
• Bibian Lopez
• Jasmine Lopez, OT
• Maria Lopez, LMSW

• Plastic Surgery Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.