John P Loes, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30144 Issued in MN

Practice address

3883 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518

Phone

(763) 421-2273

Fax

(763) 421-2236

NPI assigned

Jun 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anoka Area Family Medicine Clinic, PA

  • Family Medicine Physician
  • Coon Rapids, MN
  • NPI 1790709830
  NPD (past) Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245436302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14569 WACO ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036181",
            "telephone_number": "763-421-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332518",
            "telephone_number": "763-421-2273",
            "fax_number": "763-421-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOES",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "30144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "30144",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living Well Health Care Services LLC (Living Well Health Care LLC)
• Living With Dignity Center (Adult Day Service)
• Kelsey Mary Ann Loch
• Charles Lochner, MA
• Amanda Marie Pinkert Loecken, MHS, PA-C
• M Bruce Lomax, MD
• Rachel Long, DPT
• Daniel P Lorenz, CRNA
• Abigail Grace Pelletier Lorraine, MD, MPH
• Alexandra Nicole Lothe, PA-C

• Family Medicine Physician in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.