Organization Active NPI

David J Loiselle DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Largo, FL
National Provider Identifier
1528371010
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 1880 Issued in FL
Legal business name
DAVID J LOISELLE DPM PA
Practice address
14219 Walsingham Rd
Suite K
Largo, FL 33774-3249
Phone
(727) 596-9703
Fax
(727) 596-9703
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. David John Loiselle, DPM
Title
Owner
Phone
(727) 596-9703

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO 1880 FL
Radiology PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ER0200X PO 1880 FL
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO 1880 FL Primary

Addresses

Primary practice location

14219 Walsingham Rd
Suite K
Largo, FL 33774-3249

Mailing address

14219 Walsingham Rd
Suite K
Largo, FL 33774-3249
Phone (727) 596-9703

Other identifiers 1

IdentifierTypeStateIssuer
029762300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1528371010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14219 WALSINGHAM RD",
            "address_2": "SUITE K",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743249",
            "telephone_number": "727-596-9703",
            "fax_number": "727-596-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14219 WALSINGHAM RD",
            "address_2": "SUITE K",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743249",
            "telephone_number": "727-596-9703",
            "fax_number": "727-596-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J LOISELLE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "LOISELLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-596-9703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1880",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "FL",
            "license": "PO 1880",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 1880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029762300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.