Edwin J Loeffel Jr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

19150 Issued in CO

Practice address

1000 Rush Dr
Salida, CO 81201-9627

Phone

(719) 530-8218

Fax

(970) 667-0847

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1225067085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7704",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370704",
            "telephone_number": "970-663-2742",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-8218",
            "fax_number": "970-667-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFEL",
        "first_name": "EDWIN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "19150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01191501",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300008086",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah M Lince, MD
• Lisa M. Vonderhaar, PH.D.,LLC
• Darcie Livingston, RN, BSN
• LJCC Services, LLC (Salida Pharmacy and Fountain)
• LJCC Services, LLC (Salida Pharmacy & Fountain)
• Christina Alvord Logan, MS, OTR/L
• Daniel Lombardo, M.D.
• Bruce A Long, D.D.S.
• Maryann Kuzio Longwell, M.S.W.
• Jennifer Loucks, LAC

• Specialist in Salida, CO
• Providers in Salida, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.