Organization Active NPI

Dr Jenifer R Lloyd LLC

  • Dermatology Physician
  • Youngstown, OH
National Provider Identifier
1629385737
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34004266 Issued in OH
Legal business name
DR JENIFER R LLOYD LLC
Practice address
8060 Market St
Youngstown, OH 44512-6241
Phone
(330) 758-9189
Fax
(330) 758-4487
NPI assigned
Sep 10, 2010
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Jenifer R Lloyd, D.O.NPI 1316942758
Title
Physician/Owner
Phone
(330) 758-9189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34004266 OH Primary

Addresses

Primary practice location

8060 Market St
Youngstown, OH 44512-6241

Mailing address

8060 Market St
Youngstown, OH 44512-6241
Phone (330) 758-9189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122000881 OH Part B Supplier - Clinic/Group Practice 2668668278 Receives reassigned benefits from 7 practitioners
Practice locations: Youngstown, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2014153Jenifer R Lloyd LLC, Dr8060 Market Street, Youngstown, OH 44512Provider-performed microscopySep 30, 2026

National Provider Directory

National Provider Directory

Locations

8060 Market St
Youngstown, OH 44512
Phone (330) 758-9189

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1629385737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126241",
            "telephone_number": "330-758-9189",
            "fax_number": "330-758-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126241",
            "telephone_number": "330-758-9189",
            "fax_number": "330-758-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JENIFER R LLOYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "330-758-9189",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34004266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.