Active NPI
Adrienne Estelle Loftis, D.O.
- Obstetrics & Gynecology Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E-10821
- Practice address
- 416 E Washington Ave
Jonesboro, AR 72401-3108 - Phone
- (870) 333-5476
- Fax
- (870) 333-5475
- NPI assigned
- Jun 21, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT012683 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | E-10821 | AR | Primary |
Addresses
Primary practice location
416 E Washington Ave
Jonesboro, AR 72401-3108
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other practice location 1
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-6006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Oklahoma State University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Red Wolf Blvd
Suite B
Jonesboro, AR 72405-9739
Phone (870) 933-2054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT012683 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Institute of Technology | Current | Accepting new patients | |
| New York Institute of Technology | Past | Accepting new patients | |
| Doctors Health Group, Inc | Past | Accepting new patients |
Locations
333 Red Wolf Blvd
Ste B
Jonesboro, AR 72405
Phone (870) 933-2054
333 Red Wolf Blvd
#B
Jonesboro, AR 72405
Phone (870) 680-8809
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBCCCA/Endpoint/CBCCCA
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1760003248
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1992164750
-
- Family Medicine Physician
- Old Westbury, NY
- NPI 1821048612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1184885253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534",
"fax_number": "870-347-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E WASHINGTON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013108",
"telephone_number": "870-333-5476",
"fax_number": "870-333-5475"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-6006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOFTIS",
"first_name": "ADRIENNE",
"middle_name": "ESTELLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT012683",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-10821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- 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.