Lodespoto Medical of PA PLLC

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

MD447488 Issued in PA

Legal business name

LODESPOTO MEDICAL OF PA PLLC

Practice address

1500 Market Street
12TH Floor East Tower
Philadelphia, PA 19102-2152

Phone

(484) 282-7650

Fax

(888) 972-3585

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Mark J Lodespoto, MD

Title

Owner

Phone

(484) 282-7650

Specialties & licenses 1

Addresses

Other names 1

• Lodespoto Medical PLLC Former legal business name

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1164962148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760811",
            "telephone_number": "484-282-7650",
            "fax_number": "888-972-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "12TH FLOOR EAST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022152",
            "telephone_number": "484-282-7650",
            "fax_number": "888-972-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODESPOTO MEDICAL OF PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-282-7650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD447488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lodespoto Medical PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James Arthur Lockwood, PRE-LPC
• Katie Kupfer Lockwood, MD
• Meghan Lockwood, MD
• Locust Street Periodontics Implant Dentistry L.L.C.
• Kunal Lodaya, M.D.
• Kelsey Lodics, CRNP
• Alexandra Lodise, PT, DPT
• Amy Marie Lodise, CRNP
• Theresa Lodise, LCSW
• Kathryn Lodwick, MA, R-DMT

• Neuroradiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neuroradiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.