Kevin M Lorenz, M.D., F.A.C.S.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7221 Issued in ND

Practice address

620 N 9TH St
Bismarck, ND 58501-4112

Phone

(701) 255-4673

Fax

(701) 255-4934

NPI assigned

Oct 12, 2005

Last updated

Jan 4, 2008By 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1861480006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014112",
            "telephone_number": "701-255-4673",
            "fax_number": "701-255-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014112",
            "telephone_number": "701-255-4673",
            "fax_number": "701-255-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLSH OF ND",
            "identifier": "13979",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18532",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7779480",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BLUE SHIELD VISION SER",
            "identifier": "877221",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Bruce Longie, M.D.
• Thomas Scott Longie Jr.
• Noah Longshore
• Carrie Ann Lopez
• Dawn R Loraas, NP-C
• Love and Care Inc
• Kristin M Love, LSW
• Roger Loven, MD
• Loving Hearts Home Care
• Lydia Lowe, PHARMD

• Ophthalmology Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Ophthalmology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.