Richard McKay Lovenberg, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

102306 Issued in NC

Practice address

1207 Highland Dr
Washington, NC 27889-3405

Phone

(252) 946-6515

NPI assigned

Jan 10, 2007

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1679622104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 HIGHLAND DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893405",
            "telephone_number": "252-946-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 HIGHLAND DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893405",
            "telephone_number": "252-946-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVENBERG",
        "first_name": "RICHARD",
        "middle_name": "MCKAY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "102306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Garst Litchfield, RPH
• John Livingston, D.C.
• Laura A Lloyd, DPM
• Michael J Lobos, MD
• Leonna Love
• Amy Laura Lupton, P.A.
• Sandra Machon, CPNP
• Laurel Mackenzie, RDN, LDN, CDE
• Catherine Demartin Manning, LPC
• Elizabeth Jane Ross Manning, NP-BC

• Surgical Physician Assistant in Washington, NC
• Providers in Washington, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.