Organization Active NPI

Randall B Loch MD PC

  • Otolaryngology Physician
  • Roseburg, OR
National Provider Identifier
1659929040
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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

Updated by the provider on Aug 28, 2019

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.