Individual provider Active NPI

Jenifer R Lloyd, D.O.

  • Dermatology Physician
  • Youngstown, OH
National Provider Identifier
1316942758
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34-00-4266L Issued in OH
Practice address
8060 Market St
Youngstown, OH 44512-6241
Phone
(330) 758-9189
Fax
(330) 758-4487
NPI assigned
Jun 14, 2005
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34-00-4266L OH Primary

Addresses

Primary practice location

8060 Market St
Youngstown, OH 44512-6241

Mailing address

8060 Market St
Youngstown, OH 44512-6241
Phone (330) 758-9189

Other identifiers 1

IdentifierTypeStateIssuer
234946MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000918 OH Practitioner - Dermatology 7810183423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jenifer R Lloyd LLCGroup PAC ID 2668668278, 3 clinicians

Practice addresses (Care Compare)

8060 Market St
Youngstown, OH 44512-6241
Phone (330) 758-9189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision182
Removal of skin lesions723
Removal or shaving of skin growth82
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4266OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jenifer R Lloyd LLC Dermatology CurrentSince Sep 18, 2010 Accepting new patients

Locations

8060 Market St
Youngstown, OH 44512
Phone (330) 758-9189

Interoperability endpoints

  • Direct secure messaging: jlloyd@lloyd-derm.emadirect.md
  • Direct secure messaging: jlloyd220543@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1316942758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126241",
            "telephone_number": "330-758-9189",
            "fax_number": "330-758-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126241",
            "telephone_number": "330-758-9189",
            "fax_number": "330-758-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "JENIFER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34-00-4266L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.