Active NPI
Tom E Loper
- Psychologist
- Mechanicsburg, OH
National Provider Identifier
1811963077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3078
- Practice address
- 7299 Brigner Rd
Mechanicsburg, OH 43044-9756 - Phone
- (937) 828-1028
- Fax
- (937) 828-1028
- NPI assigned
- Feb 27, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3078 | OH | Primary |
Addresses
Primary practice location
7299 Brigner Rd
Mechanicsburg, OH 43044-9756
Mailing address
7299 Brigner Rd
Mechanicsburg, OH 43044-9756
Phone (937) 828-1028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0461094 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3078 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811963077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7299 BRIGNER RD",
"city": "MECHANICSBURG",
"state": "OH",
"postal_code": "430449756",
"telephone_number": "937-828-1028",
"fax_number": "937-828-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7299 BRIGNER RD",
"city": "MECHANICSBURG",
"state": "OH",
"postal_code": "430449756",
"telephone_number": "937-828-1028",
"fax_number": "937-828-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPER",
"first_name": "TOM",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0461094",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.