David J Loiselle, DPM, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1880 Issued in FL

Legal business name

DAVID J LOISELLE, DPM, PA

Practice address

14219 Walsingham Rd
Suite K
Largo, FL 33774-3249

Phone

(727) 596-9703

Fax

(727) 596-9703

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David J Loiselle, DPM

Title

Owner

Phone

(727) 596-9703

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Walsingham Podiatry Assoc Doing business as

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1841490414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14219 WALSINGHAM RD",
            "address_2": "SUITE K",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743249",
            "telephone_number": "727-596-9703",
            "fax_number": "727-596-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14219 WALSINGHAM RD",
            "address_2": "SUITE K",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743249",
            "telephone_number": "727-596-9703",
            "fax_number": "727-596-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J LOISELLE, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "LOISELLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-596-9703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "1880",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1880",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029762300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "65051",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walsingham Podiatry Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anastasia Datsko, LCSW
• Jonathan Ross Dattilo, M.D.
• Beth Rae Daugherty, MS CF SLP
• Jennifer Daugherty
• David J Loiselle DPM PA
• Elizabeth Davide, PA-C
• Britney Davis
• Derek Watkins Davis, OT
• John Ryan Davis, D.C.
• Laura Ann Marie Davis, MD

• Foot & Ankle Surgery Podiatrist in Largo, FL
• Providers in Largo, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.