Philip R Loria Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

12732 Issued in MS

Practice address

2204 Jefferson Davis Drive
Oxford, MS 38655

Phone

(662) 236-6850

Fax

(662) 236-5010

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Louisiana State University School of Medicine in New Orleans, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.35 of 100Reported as individual

Quality

83.09

Promoting interoperability

83

Improvement activities

40

Cost

75.59

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Joe Rose Cooper, PA-C

  • Dermatology Physician
  • Oxford, MS
  • NPI 1427535079
  Medicare reassignment

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1760586002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 JEFFERSON DAVIS DRIVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-236-6850",
            "fax_number": "662-236-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 JEFFERSON DAVIS DRIVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-236-6850",
            "fax_number": "662-236-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORIA",
        "first_name": "PHILIP",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "12732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016031",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Chloe Lloyd
• Laurin Courtni Loftin, BSW
• Jeanie Anne Lollar, LSW
• Charles A Long, MSW
• Kristina Leeann Loprinzi, APRN, NP-C
• Lindsey Lott, DNP
• Gillian Meredith Love, LPC
• Marcus R. Loveberry
• Michael Hogin Lovelace, M.D.
• Tyler Warren Lovelace

• Dermatology Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.