Cheryl S Loubert, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

CL069006 Issued in MI

Practice address

609 Quarter St
Gladwin, MI 48624-1941

Phone

(989) 246-6471

Fax

(989) 246-6486

NPI assigned

Aug 9, 2006

Sex

Female

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Grand Traverse Band of Ottawa and Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Suttons Bay, MI
  • NPI 1134281132
  Medicare reassignment NPD
• Central Michigan University

  • Family Medicine Physician
  • Mt Pleasant, MI
  • NPI 1487686754
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1376553586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241941",
            "telephone_number": "989-246-6471",
            "fax_number": "989-246-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241941",
            "telephone_number": "989-246-6471",
            "fax_number": "989-246-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUBERT",
        "first_name": "CHERYL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CL069006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisanna Star Lewis
• Skyler Lewis, MSN, APRN, FNP-C
• Rachel Marie Little
• Michelle Ann Long
• Justin Longstreth
• Leeanne Marie Love Woolley, AFC LICENSEE
• Allison Lovejoy
• Holly Loya
• Chloee Kathaleen Malcolm, OD
• Kylie Aliyah Mantei

• Internal Medicine Physician in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.