Active NPI
Mark E Loiselle, CSFA
- Surgical Assistant
- Canton, GA
National Provider Identifier
1164700415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 200838
- Practice address
- 515 Lakewood CT
Canton, GA 30114-6694 - Phone
- (770) 361-0034
- NPI assigned
- Aug 3, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 200838 | Primary | |
| Surgical Technologist | 246ZS0410X |
Addresses
Primary practice location
515 Lakewood CT
Canton, GA 30114-6694
Mailing address
515 Lakewood CT
Canton, GA 30114-6694
Phone (770) 361-0034
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Surgical Assistants, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Physician Assistant
- Marietta, GA
- NPI 1962883082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1164700415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 LAKEWOOD CT",
"city": "CANTON",
"state": "GA",
"postal_code": "301146694",
"telephone_number": "770-361-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 LAKEWOOD CT",
"city": "CANTON",
"state": "GA",
"postal_code": "301146694",
"telephone_number": "770-361-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOISELLE",
"first_name": "MARK",
"middle_name": "E",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "200838",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
- Steven M Lobel, MD
- Mary Catherine Lodde, OTR L
- Logan Family Chiropractic PC (Logan Family Chiropractic)
- Kenneth Owen Logan, D.C.
- Katelyn Wilma Lohman, O.D.
- Nathan Andrew Long, AU.D.
- Lookout Mountain Community Services
- Lookout Mountain Community Services
- Kendall Looney, PHARM.D.
- Arthur Stuart Loos, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.