Loftin Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

22820 Issued in OK

Legal business name

LOFTIN FAMILY PRACTICE

Practice address

1323 W Keetoowah St
Tahlequah, OK 74464-3462

Phone

(918) 456-3425

Fax

(918) 456-3107

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Teresa Diane Loftin, M.D.NPI 1306872445

Title

Owner

Phone

(918) 456-3425

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Diane Loftin, M.D.

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1306872445
  NPD (past) Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1295920734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643462",
            "telephone_number": "918-456-3425",
            "fax_number": "918-456-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643462",
            "telephone_number": "918-456-3425",
            "fax_number": "918-456-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTIN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "LOFTIN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-456-3425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "22820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Little
• Herbert Roscoe Littleton, DO
• Livewell Healthcare
• Karri Locust
• Rozlyn Hana Locust, MBA
• Alyssa Loftin
• Gayla Dawn Loftin, RDH
• Don Logue, D.D.S.
• Joshua C. Looney, D.D.S.
• Gretchan B Lopez, DO

• Clinic/Center in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.