Active NPI
Megan E. Looby, D.O. ,P.C.
- Obstetrics & Gynecology Physician
- Grand Rapids, MI
National Provider Identifier
1679724579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MEGAN E. LOOBY, D.O. ,P.C.
- Practice address
- 2540 Woodmeadow Dr SE
Suite 102
Grand Rapids, MI 49546-8050 - Phone
- (616) 942-2675
- Fax
- (616) 942-2596
- NPI assigned
- Oct 9, 2008
- 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
- Megan Elizabeth Looby, D.O.
- Title
- Owner
- Phone
- (616) 942-2675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2540 Woodmeadow Dr SE
Suite 102
Grand Rapids, MI 49546-8050
Mailing address
PO Box 71
Caledonia, MI 49316-0071
Phone (616) 942-2675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4653800 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
2540 Woodmeadow Dr SE
Grand Rapids, MI 49546
Phone (616) 942-2675
7686 Georgetown Center Dr
Jenison, MI 49428
Phone (616) 252-8600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Cheyenne, WY
- NPI 1528003829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286928000000",
"number": "1679724579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493160071",
"telephone_number": "616-942-2675",
"fax_number": "616-942-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 WOODMEADOW DR SE",
"address_2": "SUITE 102",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468050",
"telephone_number": "616-942-2675",
"fax_number": "616-942-2596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEGAN E. LOOBY, D.O. ,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2010-10-13",
"status": "A",
"authorized_official_last_name": "LOOBY",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-942-2675",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4653800",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.