Individual provider Active NPI

Harold P Loveall Jr., MD

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1962476440
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01025679A Issued in IN
Practice address
2723 S 7TH Street
Suite C
Terre Haute, IN 47802-3558
Phone
(812) 232-5936
Fax
(812) 235-1290
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01025679A IN Primary

Addresses

Primary practice location

2723 S 7TH Street
Suite C
Terre Haute, IN 47802-3558

Mailing address

2723 S 7TH St
Suite a
Terre Haute, IN 47802-3558
Phone (812) 238-1730

Other identifiers 3

IdentifierTypeStateIssuer
100250460MedicaidIN
080151015OtherINRAILROAD MEDICARE
000000093821OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20100112000229 IN Practitioner - Family Practice 1052354453 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01025679AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. CurrentSince Aug 12, 2020 Accepting new patients
Union Hospital, Inc. Family Medicine CurrentSince Aug 12, 2020 Accepting new patients
Providence Medical Group LLC CurrentSince Feb 1, 2000 Accepting new patients

Locations

2723 S 7th St
Ste A
Terre Haute, IN 47802
Phone (812) 238-1730

4001 Wabash Ave
Ste C
Terre Haute, IN 47803
Phone (812) 877-0506

2723 S 7th St
Ste L
Terre Haute, IN 47802
Phone (812) 232-0921

1233 Maple Ave
Terre Haute, IN 47804
Phone (812) 232-5936

2723 S 7th St
Ste C
Terre Haute, IN 47802
Phone (812) 232-2936

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

4001 Wabash Ave
Terre Haute, IN 47803
Phone (812) 238-7710

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1962476440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "SUITE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-238-1730",
            "fax_number": "812-242-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 7TH STREET",
            "address_2": "SUITE C",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-232-5936",
            "fax_number": "812-235-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEALL",
        "first_name": "HAROLD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01025679A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250460",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080151015",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000093821",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.