Michael Lewis Loren, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

R2A06 Issued in MO

Practice address

4963 NE Goodview Cir
Suite a
Lees Summit, MO 64064-1998

Phone

(816) 478-1500

Fax

(816) 478-3413

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407960776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10129 HEMLOCK DR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123452",
            "telephone_number": "913-649-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR",
            "address_2": "SUITE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641998",
            "telephone_number": "816-478-1500",
            "fax_number": "816-478-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREN",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "R2A06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KANSAS CITY",
            "identifier": "08334038",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Lohr, DDS, MD
• Marc James Loner, APRN
• Emily Long, DC
• Kaitlyn Long, DO
• Jordan Jean Longabaugh, M.D.
• Daniel Steven Lorenz, MS, PT, ATC, CSCS
• Dalton Loukota, DPT, PT
• Margaret Lovasz, PLPC
• Joy Michelle Love, CNA
• Susan D Love, P.T.

• Allergy Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Allergy Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.