Active NPI
Trinity Michele Loveless, MD
- Pediatrics Physician
- Yukon, OK
National Provider Identifier
1255537379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25703
- Practice address
- 812 S Mustang Rd
Yukon, OK 73099-6719 - Phone
- (405) 265-3900
- Fax
- (405) 265-3905
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25703 | OK | Primary |
Addresses
Primary practice location
812 S Mustang Rd
Yukon, OK 73099-6719
Mailing address
812 S Mustang Rd
Yukon, OK 73099-6719
Phone (405) 265-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200173810A | Medicaid | OK |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25703 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Trinity Loveless, MD, PLLC | Past | Accepting new patients |
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.
-
dba A Place to Grow Pediatrics
- Medical Specialty Clinic/Center
- Yukon, OK
- NPI 1629310230
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1255537379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996719",
"telephone_number": "405-265-3900",
"fax_number": "405-265-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996719",
"telephone_number": "405-265-3900",
"fax_number": "405-265-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELESS",
"first_name": "TRINITY",
"middle_name": "MICHELE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "25703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200173810A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.