Individual provider Active NPI

Loretta Jane Scism, M.D.

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1336346865
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-090075 Issued in OH
Practice address
784 E Main St
Lancaster, OH 43130-3983
Phone
(740) 654-4942
NPI assigned
Jun 28, 2007
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-090075 OH Primary

Addresses

Primary practice location

784 E Main St
Lancaster, OH 43130-3983

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other practice location 1

819 State Route 664 N
Suite A
Logan, OH 43138-8540
Phone (740) 385-9614

Other identifiers 3

IdentifierTypeStateIssuer
2764923MedicaidOH
000000529137OtherOHANTHEM
00002803653OtherOHUHC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lscism171342@direct.ohiohealth.com OhioHealth Physician Group

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
I20070814000892 OH Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9032200423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Southern Illinois University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

784 E Main St
Lancaster, OH 43130-3983
Phone (614) 533-6890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-090075OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Apr 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Apr 1, 2018 Accepting new patients
Ohiohealth Corporation Family Medicine Current Accepting new patients

Locations

75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

1638 N Memorial Dr
Lancaster, OH 43130
Phone (740) 654-4942

784 E Main St
Lancaster, OH 43130
Phone (740) 687-0100

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

819 State Route 664 N
Ste A
Logan, OH 43138
Phone (740) 385-0202

1950 Mount Saint Marys Dr
Nelsonville, OH 45764
Phone (740) 753-1931

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1336346865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303983",
            "telephone_number": "740-654-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 State Route 664 N",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388540",
            "country_code": "US",
            "telephone_number": "740-385-9614",
            "fax_number": "740-380-8152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCISM",
        "first_name": "LORETTA",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-090075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764923",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000529137",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "00002803653",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lscism171342@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "1638 N Memorial Dr",
            "city": "Lancaster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431301631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.