Organization Active NPI

W.Eric Loch,M.D.,P.a.

  • Otolaryngology Physician
  • Lake City, FL
National Provider Identifier
1962739334
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME102204 Issued in FL
Legal business name
W.ERIC LOCH,M.D.,P.A.
Practice address
4551 W US Highway 90
Suite 101
Lake City, FL 32055-8836
Phone
(386) 719-9993
Fax
(386) 719-4744
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Dr. Walter Eric Loch, M.D.
Title
President
Phone
(386) 719-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X ME102204 FL Primary

Addresses

Primary practice location

4551 W US Highway 90
Suite 101
Lake City, FL 32055-8836

Mailing address

4551 W US Highway 90
Suite101
Lake City, FL 32055-8835
Phone (386) 719-9993

Other identifiers 1

IdentifierTypeStateIssuer
52026OtherFLBLUE CROSS AND BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1962739334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 W US HIGHWAY 90",
            "address_2": "SUITE101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558835",
            "telephone_number": "386-719-9993",
            "fax_number": "386-719-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 W US HIGHWAY 90",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558836",
            "telephone_number": "386-719-9993",
            "fax_number": "386-719-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.ERIC LOCH,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "LOCH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-719-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME102204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "52026",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.