Individual provider Active NPI

Samuel Lofgren, MD

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1619921723
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35083681I Issued in OH
Practice address
20 S 3Rd St Ste 210TH
Columbus, OH 43215-4206
Phone
(629) 201-0698
NPI assigned
May 22, 2006
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35083681I OH Primary

Addresses

Primary practice location

20 S 3Rd St Ste 210TH
Columbus, OH 43215-4206

Mailing address

3853 April Dr
Uniontown, OH 44685-7939
Phone (330) 212-0790

Other practice location 1

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3369

Other identifiers 6

IdentifierTypeStateIssuer
000000356180OtherOHANTHEM
341779226006OtherOHMED MUTUAL OF OH
P00222417OtherOHRR MEDICARE
341779226SLOtherOHSUMMACARE
61641OtherOHUNITED HEALTHCARE
2475174MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slofgren@aspirehealthcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040524000125 OH Practitioner - Emergency Medicine 0547251969 Reassigns benefits to 4 organizations
I20220121001629 IN Practitioner - Emergency Medicine 0547251969 Reassigns benefits to 1 organization
I20250415000098 VA Practitioner - Emergency Medicine 0547251969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35083681IOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hles of Ohio Inc Emergency Medicine CurrentSince Jun 21, 2017 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Jun 21, 2017 Accepting new patients
Summa Emergency Associates Inc Emergency Medicine CurrentSince Dec 1, 2004 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jun 15, 2019 Accepting new patients
Summa Emergency Associates, Inc. Emergency Medicine CurrentSince Dec 1, 2004 Accepting new patients
Summa Emergency Associates Inc Emergency Medicine Past Accepting new patients
Summa Emergency Associates Inc Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Twin City Hospital Corporation Past Accepting new patients
Summa Emergency Associates Emergency Medicine Past Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Interoperability endpoints

  • Direct secure messaging: slofgren20603@carelonhealth.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1619921723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 APRIL DR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857939",
            "telephone_number": "330-212-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 3RD ST STE 210TH",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154206",
            "telephone_number": "629-201-0698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041619",
            "country_code": "US",
            "telephone_number": "330-375-3369",
            "fax_number": "330-375-3769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFGREN",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-09-20",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35083681I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000356180",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTUAL OF OH",
            "identifier": "341779226006",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00222417",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "341779226SL",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "61641",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2475174",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slofgren@aspirehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "20 S 3rd St Ste 210th",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.