Active NPI
Mark F. Loriz, MD
- Anesthesiology Physician
- Pensacola, FL
National Provider Identifier
1689675738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME53947
- Practice address
- 4901 Grande Dr
Pensacola, FL 32504-5935 - Phone
- (850) 477-7042
- Fax
- (850) 474-9060
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME53947 | FL | Primary |
Addresses
Primary practice location
4901 Grande Dr
Pensacola, FL 32504-5935
Mailing address
4901 Grande Dr
Pensacola, FL 32504-5935
Phone (850) 477-7042
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047612900 | Medicaid | FL | |
| Z190 | Other | FL | HEALTH FIRST NETWORK |
| 009000370 | Medicaid | AL | |
| 050015909 | Other | FL | RAILROAD MEDICARE |
| 08266 | Other | FL | BLUECROSS & BLUE SHIELD |
| 59092919 | Other | AL | BLUECROSS & BLUESHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1689675738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045935",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045935",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORIZ",
"first_name": "MARK",
"middle_name": "F.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME53947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047612900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST NETWORK",
"identifier": "Z190",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009000370",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050015909",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS & BLUE SHIELD",
"identifier": "08266",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS & BLUESHIELD",
"identifier": "59092919",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.