Michael Lounsbury, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10002373 Issued in WA

Practice address

318 N Lincoln St
Moscow, ID 83843-3243

Phone

(208) 827-6127

NPI assigned

Jun 14, 2005

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.lounsbury.p2@direct.medcor.nextgenshare.com

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.

• Clearwater Valley Hospital & Clinics Inc.

  dba Clearwater Valley Health

  • Rural Health Clinic/Center
  • Orofino, ID
  • NPI 1033153739
  NPD (past)
• Jordan Valley Health Clinic, Inc.

  • Medical Physician Assistant
  • Jordan Valley, OR
  • NPI 1093733248
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1356346712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N LINCOLN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433243",
            "telephone_number": "208-827-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N LINCOLN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433243",
            "telephone_number": "208-827-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUNSBURY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10002373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Annette Lopez, LCSW
• Randall G. Lorenz, MD
• Vicky M Lott, M.D.
• Lotus Early Learning
• Lotus Transformations, LLC (Lotus Transformations)
• Kayla J Love
• Luke Rosen, DO, PLLC (PsychNS)
• Catherine Mae Luna
• Teleea Tawnee Lundgren, LMT, NCTMB
• James Rion Lutz

• Medical Physician Assistant in Moscow, ID
• Providers in Moscow, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.