Active NPI
Lori P Tobler, M.D.
- Internal Medicine Physician
- Lovington, NM
National Provider Identifier
1639264377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2015-0833
- Practice address
- 1600 North Main
Lovington, NM 88260-2830 - Phone
- (575) 396-6611
- Fax
- (575) 396-1454
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TD00000 | ME | |
| Internal Medicine Physician | 207R00000X | MD2015-0833 | NM | Primary |
Addresses
Primary practice location
1600 North Main
Lovington, NM 88260-2830
Mailing address
914 Pine St
Mount Shasta, CA 96067-2143
Phone (575) 396-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37832832 | Medicaid | NM |
Other names 1
- Lori P Bollinger
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TD00000 | ME | MD | Internal Medicine Physician |
| MD2015-0833 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webhannet Internal Medicine PA | Internal Medicine | Past | Accepting new patients |
| York Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Moody, ME
- NPI 1477660728
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1639264377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 PINE ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672143",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 NORTH MAIN",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBLER",
"first_name": "LORI",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "TD00000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2015-0833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37832832",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "BOLLINGER",
"middle_name": "P",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.