Organization Active NPI

Kyle D Loy MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Lafayette, IN
National Provider Identifier
1437275229
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
01026301A Issued in IN
Legal business name
KYLE D LOY MD PC
Practice address
2606 Veterans Memorial Pkwy S
Ste 1
Lafayette, IN 47909-9192
Phone
(765) 474-4500
Fax
(765) 474-1122
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. Kyle Dwain Loy, M.D.
Title
PC
Phone
(765) 474-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 01026301A IN Primary

Addresses

Primary practice location

2606 Veterans Memorial Pkwy S
Ste 1
Lafayette, IN 47909-9192

Mailing address

2606 Veterans Memorial Pkwy S
Suite 1
Lafayette, IN 47909-9192
Phone (765) 474-4500

Other identifiers 3

IdentifierTypeStateIssuer
DD2208OtherINMEDICARE RAILROAD
200903820AMedicaidIN
000000361234OtherINANTHEM PIN #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1437275229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 VETERANS MEMORIAL PKWY S",
            "address_2": "SUITE 1",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099192",
            "telephone_number": "765-474-4500",
            "fax_number": "765-474-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 VETERANS MEMORIAL PKWY S",
            "address_2": "STE 1",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099192",
            "telephone_number": "765-474-4500",
            "fax_number": "765-474-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE D LOY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DWAIN",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "765-474-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IN",
            "license": "01026301A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD2208",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200903820A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000361234",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.