DR. WILLIAM EDWIN LOFTIS (NPI# 1174587190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174587190 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM EDWIN LOFTIS |
| Credential | M.D. |
| Practice Address |
818 Saint Sebastian Way Suite 100 Augusta GA 30901-2651 |
| Mailing Address |
1125 Troupe St P.o. Box 3845 Augusta GA 30914-3845 |
| Practice Telephone | 7067223574 |
| Mailing Telephone | 7067374575 |
| Mailing Fax Number | 7067315289 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2009-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
015394 | GA | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
015394 | GA | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
015394 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
015394 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
015394 | GA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
015394 | GA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
015394 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIGROUP | 10059055 | 01 | |
| GA | 00093497D | 05 | |
| GA | BLUE CROSS BLUE SHIELD | 030187 | 01 |
| GA | 00093497E | 05 | |
| SC | R15394 | 05 | |
| GA | 00093497F | 05 | |
| NPI - BROWN & RADIOLOGY | 1265540314 | 01 |
| Street Address |
818 SAINT SEBASTIAN WAY SUITE 100 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612352 | Randy Wilson Cooper | Surgery | 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 | 2005-07-12 |
| 1144697194 | Debora Sumner Mulling | Nurse Practitioner | 818 Saint Sebastian Way, Suite 308, Augusta, GA 30901-2651 | 2015-08-25 |
| 1427483155 | Erin Timmerman Cooper | Nurse Practitioner | 818 Saint Sebastian Way, Suite 307, Augusta, GA 30901 | 2013-09-12 |
| 1588902613 | Matthew K Howard, Md, LLC | Internal Medicine | 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 | 2013-01-24 |
| 1760735401 | Toni Lynn Davis | Physician Assistant | 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 | 2012-10-18 |
| 1104051754 | University Vascular Specialist, Inc. | Surgery | 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 | 2009-05-27 |
| 1750515672 | Neighborhood Improvement Project Inc. | Legal Medicine | 818 Saint Sebastian Way, Suite 404a, Augusta, GA 30901-2651 | 2009-05-06 |
| 1407011802 | Santosh C Varkey | Internal Medicine | 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 | 2008-07-24 |
| 1164685343 | University Sleep Associates | Specialist | 818 Saint Sebastian Way, Suite 101, Augusta, GA 30901-2651 | 2008-07-08 |
| 1235301771 | Brandi Nicole Pettis | Audiologist | 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901-2651 | 2008-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841391570 | Sathy Gupta | Radiology | 1 Freedom Way (237), Augusta, GA 30904-6285 | 2006-09-26 |
| 1134172547 | Karl E Weingarten | Radiology | 630 13th Street, Suite 250, Augusta, GA 30901 | 2006-05-18 |
| 1649269440 | Seth M Hardy | Radiology | 28 Arsenal St, Augusta, ME 04330-5226 | 2005-10-14 |
| 1053317164 | Peter J Mascetta | Radiology | 6 East Chestnut Street, Augusta, ME 04333-0001 | 2005-06-23 |
| 1619474848 | Freyli Josefina Bustamante | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2018-04-13 |
| 1063861045 | Corey Garvin | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2016-06-09 |
| 1801244587 | Brian Sifrig | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2016-06-02 |
| 1851796270 | Ana R Fernandes Longuino | Radiology | 1120 15th St, Augusta, GA 30912-0001 | 2014-10-28 |
| 1093132979 | Hanping Wu | Radiology | 1120 15th St, Augusta, GA 30912-7101 | 2014-03-28 |
| 1235567843 | Maine Mobile Mri Associates | Radiology | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2013-10-16 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.