Michael Allen Loden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2951 Issued in TX

Practice address

2100 Lake Shore Dr
Waco, TX 76708-1271

Phone

(254) 755-0088

Fax

(254) 755-6695

NPI assigned

Nov 10, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magnolia Home Health Home health agency, Waco, TX, CCN 677694
• Ascension at Home Home health agency, Waco, TX, CCN 457377
• Accentcare Home Health of Waco Home health agency, Waco, TX, CCN 679200
• Ascension Providence Hospital, Waco, TX, CCN 450042
• Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.loden.1@9635.direct.athenahealth.com

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

• Providence Health Alliance

  • Specialist
  • Waco, TX
  • NPI 1932210838
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group
• Providence Health Alliance

  • Rural Health Clinic/Center
  • Waco, TX
  • NPI 1336590462
  NPD
• Lake Shore Family Medicine, P.a.

  • Family Medicine Physician
  • Waco, TX
  • NPI 1457463085
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679
  Care Compare affiliation
• Central Texas Homecare, LLC

  • Home Health Agency
  • Waco, TX
  • NPI 1811019367
  Care Compare affiliation
• Hillcrest Baptist Medical Center

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1891882833
  Care Compare affiliation
• Home Health Providence, LLC

  • Home Health Agency
  • Waco, TX
  • NPI 1376596114
  Care Compare affiliation
• Texas Home Health Group of Waco, LLC

  • Home Health Agency
  • Waco, TX
  • NPI 1548790991
  Care Compare affiliation

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922089382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CHURCH RD",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766573483",
            "telephone_number": "254-848-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081271",
            "telephone_number": "254-755-0088",
            "fax_number": "254-755-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODEN",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152262501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092311204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Madeline Locke
• Bonnie L Locke, C.O.T.A.
• Corbet Clarke Locke III, DDS
• Morgan Locke
• Jordyn D Lockhart
• Kristy B Lohr, LPC
• Elizabeth Keller Lolley, MD
• Stephanie Londenberg
• Lone Star Family Vision
• Lone Star Surgical Assisting LLC

• Family Medicine Physician in Waco, TX
• Providers in Waco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.