Active NPI
Jennifer Renea Loch, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Gainesville, FL
National Provider Identifier
1396979845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- #UO2094
- Practice address
- 1600 SW Archer Road, Depart of Pathology
Room 3113 Shands
Gainesville, FL 32610-0275 - Phone
- (352) 265-0432
- Fax
- (352) 395-0437
- NPI assigned
- May 13, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | #UO2094 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Road, Depart of Pathology
Room 3113 Shands
Gainesville, FL 32610-0275
Mailing address
7164 S Shore Dr S
South Pasadena, FL 33707-4607
Phone (727) 515-1087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #UO2094 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1396979845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7164 S SHORE DR S",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074607",
"telephone_number": "727-515-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER ROAD, DEPART OF PATHOLOGY",
"address_2": "ROOM 3113 SHANDS",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100275",
"telephone_number": "352-265-0432",
"fax_number": "352-395-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCH",
"first_name": "JENNIFER",
"middle_name": "RENEA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "#UO2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.