Active NPI
Scott J. Loessin, MD
- Plastic Surgery Physician
- Key West, FL
National Provider Identifier
1366415424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME0067948
- Practice address
- 3140 Northside Dr
BLDG a
Key West, FL 33040-8011 - Phone
- (305) 809-8011
- Fax
- (305) 809-8011
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME0067948 | FL | Primary |
Addresses
Primary practice location
3140 Northside Dr
BLDG a
Key West, FL 33040-8011
Mailing address
3140 Northside Dr
BLDG a
Key West, FL 33040-8011
Phone (305) 809-8011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377730800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0067948 | FL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1366415424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 NORTHSIDE DR",
"address_2": "BLDG A",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330408011",
"telephone_number": "305-809-8011",
"fax_number": "305-809-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 NORTHSIDE DR",
"address_2": "BLDG A",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330408011",
"telephone_number": "305-809-8011",
"fax_number": "305-809-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOESSIN",
"first_name": "SCOTT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME0067948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377730800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.