Individual provider Active NPI

Michael Carl Loar, M.D.

  • Pediatrics Physician
  • Dublin, OH
National Provider Identifier
1639234073
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35050543 Issued in OH
Practice address
5110 Blazer Pkwy
Dublin, OH 43017-1339
Phone
(614) 889-8890
Fax
(614) 799-6878
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35050543 OH Primary

Addresses

Primary practice location

5110 Blazer Pkwy
Dublin, OH 43017-1339

Mailing address

5110 Blazer Pkwy
Dublin, OH 43017-1339
Phone (614) 889-8890

Other identifiers 2

IdentifierTypeStateIssuer
35050543OtherOHSTATE LICENSE
0663241MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35050543OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Pediatrics, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639234073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-889-8890",
            "fax_number": "614-799-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-889-8890",
            "fax_number": "614-799-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOAR",
        "first_name": "MICHAEL",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35050543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35050543",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0663241",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.