John Lloyd Loewen, M.D.
Individual provider Active NPI Family Medicine Physician · Niagara, WI
NPI 1376693770 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376693770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20876 020 (WI)
- Practice address
- 615 Washington Ave
Niagara, WI 54151-1213 - Phone
- (715) 251-3104
- Fax
- (715) 251-1693
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1721 S Stephenson Ave
Dickinson County Healthcare System
Iron Mountain, MI 49801-3637
Phone (906) 774-1313
615 Washington Ave
Niagara, WI 54151-1213
Phone (715) 251-3104
Hospital & facility affiliations
- Marshfield Medical Center
- Marshfield Medical Center
- Dickinson County Memorial Hospital
- Marshfield Medical Center - Eau Claire
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MI
- 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 |
|---|---|---|---|---|
| I20100216000929 | WI | Practitioner - Family Practice | 4082758933 | Reassigns benefits to 1 organization |
| I20100216000950 | MI | Practitioner - Family Practice | 4082758933 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20876 020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians - Michigan, PLLC | Family Medicine | Current |
Accepting new patients |
| John L Loewen MDSC | Family Medicine | Current |
Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Michigan PLLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Michigan, PLLC | Current | Accepting new patients |
Locations
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153
615 Washington Ave
Niagara, WI 54151
Phone (715) 251-3104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20876 020 | WI | Yes |
Addresses
Primary practice location
615 Washington Ave
Niagara, WI 54151-1213
Mailing address
615 Washington Ave
Niagara, WI 54151-1213
Phone (715) 251-3104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4673320 | Medicaid | MI | |
| 32240900 | Medicaid | WI |
Other providers in Niagara, WI
- Mary Patricia Holzbauer
- In Home Rehab of Dickinson County
- John L Loewen MDSC
- Bonnie Lou Koski
- Katherine Go Liao
- Maryhill Manor Inc
- Niagara Area Emergency Unit, Inc
- Niagara Area Emergency Unit, Inc.
- Niagara Health Center, Inc
- Kerry Colenso Niebrzydowski
All providers in Niagara, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.