Nicholas Christoph Loughlin
Individual provider Active NPI Family Medicine Physician · Cherokee, IA
NPI 1336679588 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1336679588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D005646 (IA)
- Practice address
- 300 Sioux Valley Dr
Cherokee, IA 51012-1205 - Phone
- (712) 225-5101
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sioux Valley Memorial Hospital Association
Sports Rehab and Professional Therapy Associates Inc
Practice addresses (Care Compare)
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265
315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724
Hospital & facility affiliations
- Cherokee Regional Home Health
- Cherokee Regional Hospice
- Cherokee Regional Medical Center
- Careage Hills Rehabilitation and Healthcare
- Accura Healthcare of Cherokee, LLC
- Cherokee Specialty Care
- Heartland Care Center
- Accura Healthcare of Aurelia, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110003039 | IA | Practitioner - Family Practice | 9638429590 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D005646 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux Valley Memorial Hospital Association | Current | Accepting new patients | |
| Sioux Valley Memorial Hospital Association | Family Medicine | Current | Accepting new patients |
| Sioux Valley Memorial Hospital Association | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Sioux Valley Memorial Hospital Association | Family Medicine | Current |
Accepting new patients |
Locations
300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368
Interoperability endpoints
- nloughlin774069@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | D005646 | IA | Yes |
Addresses
Primary practice location
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Mailing address
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Other providers in Cherokee, IA
- Kayla Koch
- Doyle Dean Kruger
- Brenda Joy Langstraat-Janisch
- Ronda Jo Latta
- Linda J Lewis
- Ludvigson Chiropractic PLLC
- Kayla M Ludvigson
- Kellen Park Ludvigson
- Jenna Lundsgaard
- Luxe Living Home Care Agency
All providers in Cherokee, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.