Active NPI
Karla Maarit Lodge, PA-C
- Medical Physician Assistant
- Orlando, FL
National Provider Identifier
1306003678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2427
- Practice address
- Loyal Source Government Services
12612 Challenger Pkwy #365
Orlando, FL 32826 - Phone
- (407) 306-8441
- Fax
- (888) 316-1686
- NPI assigned
- May 22, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2427 | AZ | Primary |
Addresses
Primary practice location
Loyal Source Government Services
12612 Challenger Pkwy #365
Orlando, FL 32826
Mailing address
PO Box 2527
Scottsdale, AZ 85252-2527
Phone (602) 703-3197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688103 | Medicaid | AZ |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2427 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients | |
| Med 97 LLC | Past | Accepting new patients | |
| Livn, P.C. | 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.
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1306959218
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1487631883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1306003678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2527",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852522527",
"telephone_number": "602-703-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOYAL SOURCE GOVERNMENT SERVICES",
"address_2": "12612 CHALLENGER PKWY #365",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32826",
"telephone_number": "407-306-8441",
"fax_number": "888-316-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODGE",
"first_name": "KARLA",
"middle_name": "MAARIT",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688103",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.