Individual provider Active NPI

Loricel Escote, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1689649048
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LE067373 Issued in MI
Practice address
23900 Orchard Lake Rd
Suite 100
Farmington Hills, MI 48336-2501
Phone
(248) 476-6209
Fax
(248) 476-6237
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LE067373 MI Primary

Addresses

Primary practice location

23900 Orchard Lake Rd
Suite 100
Farmington Hills, MI 48336-2501

Mailing address

23900 Orchard Lake Rd
Suite 100
Farmington Hills, MI 48336-2501
Phone (248) 476-6209

Other identifiers 2

IdentifierTypeStateIssuer
4409220MedicaidMI
1106313771OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Loricel Mangulabnan Jr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LE067373MIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1689649048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23900 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362501",
            "telephone_number": "248-476-6209",
            "fax_number": "248-476-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362501",
            "telephone_number": "248-476-6209",
            "fax_number": "248-476-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOTE",
        "first_name": "LORICEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "LE067373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4409220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1106313771",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORICEL",
            "last_name": "MANGULABNAN",
            "suffix": "JR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.