Richard Mark Lochala, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-7308 Issued in AR

Practice address

1102 Crestwood Cir
Mena, AR 71953-5513

Phone

(479) 394-7301

Fax

(479) 394-7160

NPI assigned

Feb 23, 2006

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AR

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: admin@mountainviewclinic.e-mdsdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mena Family Health Center

  • Family Medicine Physician
  • Mena, AR
  • NPI 1447571047
  Medicare reassignment NPD
• Mountain View Clinic I LLC

  • Family Medicine Physician
  • Mena, AR
  • NPI 1851366777
  Authorized official Same address or phone

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1598731259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535513",
            "telephone_number": "479-394-7301",
            "fax_number": "479-394-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535513",
            "telephone_number": "479-394-7301",
            "fax_number": "479-394-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHALA",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-7308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7879080P01",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDF NUMBER",
            "identifier": "200693200",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100077250 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117282001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080127748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "53482",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "390989",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVASYS",
            "identifier": "P03477",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lackey, QBHP
• Kristen K Ledbetter
• Zoe Ledbetter, PHARMD
• C. Wallace Liles Jr., O.D.
• Little Rock Vamc
• Mary Beth Lowery, LCSW
• Robert Manis, M.D.
• Diane Marosy, DDS
• Stephanie Leona Matthews, LCSW
• Hannah McCormick, OTD, OTR/L

• Family Medicine Physician in Mena, AR
• Providers in Mena, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.