Individual provider Active NPI

Brian Moses Loxterman

  • Physician Assistant
  • Madison, OH
National Provider Identifier
1316416159
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006505 Issued in VA
Practice address
4567 Turney Rd
Madison, OH 44057-9773
Phone
(440) 840-3761
NPI assigned
Nov 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006505 VA Primary

Addresses

Primary practice location

4567 Turney Rd
Madison, OH 44057-9773

Mailing address

4567 Turney Rd
Madison, OH 44057-9773
Phone (440) 840-3761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190206001202 VA Practitioner - Physician Assistant 8224376827 Reassigns benefits to 1 organization
I20200128003232 OH Practitioner - Physician Assistant 8224376827 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110006505VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 20, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Jun 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 20, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 8, 2020 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 8, 2020 Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: bloxterman208269@direct.metrohealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1316416159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 TURNEY RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440579773",
            "telephone_number": "440-840-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 TURNEY RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440579773",
            "telephone_number": "440-840-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOXTERMAN",
        "first_name": "BRIAN",
        "middle_name": "MOSES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-23",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, OH

Sources for this page

Verify at the official NPI Registry.