Active NPI
Daniel Patrick Loisel, DO
- Emergency Medicine Physician
- San Marcos, TX
National Provider Identifier
1245220540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G5308
- Practice address
- 1301 Wonder World Dr
San Marcos, TX 78666-7533 - Phone
- (512) 753-3796
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G5308 | TX | Primary |
Addresses
Primary practice location
1301 Wonder World Dr
San Marcos, TX 78666-7533
Mailing address
710 Rogers St
San Marcos, TX 78666-3228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132725605 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5308 | TX | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1245220540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 ROGERS ST",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786663228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WONDER WORLD DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667533",
"telephone_number": "512-753-3796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOISEL",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "G5308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132725605",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.