Loren Mason Cobb, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

30047 Issued in WA

Practice address

3013 S 363Rd St
Federal Way, WA 98003-7249

Phone

(509) 991-8589

Fax

(253) 835-5761

NPI assigned

Sep 20, 2005

Last updated

Mar 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire Health Services

  dba Deaconess Medical Center

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1336194893
  NPD (past)
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1710972336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 S 363RD ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037249",
            "telephone_number": "509-991-8589",
            "fax_number": "253-835-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 S 363RD ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037249",
            "telephone_number": "509-991-8589",
            "fax_number": "253-835-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "LOREN",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "WA",
            "license": "30047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Clone
• Cloverhope Mental Health Services PLLC (CloverHope Mental Health Services)
• Cloverhope Mental Health Services PLLC
• Rebecca J Clow, DIETICIAN
• Tina Lynn Clum, LMP
• Holly Marie Coe, MA
• Christine Carol Cole, LMHC
• Tyisha Deanne Coleman, MA60182845
• Heather Colen
• Cheryl Ann Collier-Brown, MD

• Pediatric Surgery Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Pediatric Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.