Active NPI
Randall B Loch MD PC
- Otolaryngology Physician
- Roseburg, OR
National Provider Identifier
1659929040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- RANDALL B LOCH MD PC
- Practice address
- 2423 NW Troost St
Roseburg, OR 97471-1706 - Phone
- (541) 677-3400
- Fax
- (541) 677-3405
- NPI assigned
- Aug 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall BP Loch, MD
- Title
- Owner
- Phone
- (209) 541-5692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
2423 NW Troost St
Roseburg, OR 97471-1706
Mailing address
2423 NW Troost St
Roseburg, OR 97471-1706
Phone (541) 677-3400
Other names 1
- ENT Associates of Roseburg, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566950400000",
"number": "1659929040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 NW TROOST ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711706",
"telephone_number": "541-677-3400",
"fax_number": "541-677-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 NW TROOST ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711706",
"telephone_number": "541-677-3400",
"fax_number": "541-677-3405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDALL B LOCH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A",
"authorized_official_last_name": "LOCH",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "BP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-541-5692",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ENT Associates of Roseburg, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.