Active NPI
W.Eric Loch,M.D.,P.a.
- Otolaryngology Physician
- Lake City, FL
National Provider Identifier
1962739334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME102204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52026 | Other | FL | BLUE CROSS AND BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.