Organization Active NPI

Megan E. Looby, D.O. ,P.C.

  • Obstetrics & Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1679724579
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Oct 13, 2010

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4653800MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.