MEDICARE: JOHN R LOUGHREY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	33596	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102530944	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437120706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN R LOUGHREY MD

Provider Business Mailing Address
First Line	:	PO BOX 632551
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2551
Country	:	US
Telephone Number	:	513-681-8800
Fax Number	:	513-681-6999

Provider Business Practice Location Address
First Line	:	5215 N BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-8006
Country	:	US
Telephone Number	:	513-681-8800
Fax Number	:	513-681-6999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	03/20/2013

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