MICHAEL J LOFTUS (NPI# 1437258316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437258316 |
| Entity Type | Individual |
| Full Name | MICHAEL J LOFTUS |
| Credential | D>D>S> |
| Practice Address |
10101 Academy Rd Suite 203 Philadelphia PA 19114-1120 |
| Mailing Address |
10101 Academy Rd. Suite 203 Philadelphia PA 19114-1120 |
| Practice Telephone | 2152813400 |
| Practice Fax Number | 2152813477 |
| Mailing Telephone | 2152813400 |
| Mailing Fax Number | 2152813477 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DS-020530-L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE | 0060844000 | 01 |
| PA | PERSONAL CHOICE | 023312 | 01 |
| PA | AETNA | 2220900 | 01 |
| PA | BLUE SHIELD | 023312 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245307271 | Michael David Loftus | Counselor | 4143 W 18th Ave Apt 85, Eugene, OR 97402-2896 | 2006-11-28 |
| 1083865828 | Michael Lyon Loftus | Radiology | 525 E 68th St # 141, New York, NY 10065-4870 | 2008-10-09 |
| 1376682526 | Michael Jerome Loftus | Chiropractor | 5891 S Military Trl Ste 3a, Lake Worth, FL 33463-6920 | 2007-02-05 |
| 1003860131 | Michael John Loftus Jr. | Physical Therapist | 501 5th St, Suite 1, Atco, NJ 08004-1861 | 2006-05-22 |
| Street Address |
10101 ACADEMY RD SUITE 203 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720036239 | Yana A. Saknovsky | Family Medicine | 10101 Academy Rd, Suite 104, Philadelphia, PA 19114-1120 | 2006-05-05 |
| 1073121703 | Brittany Susan Ang | Dentist | 10101 Academy Rd, 2nd Floor, Philadelphia, PA 19114-1120 | 2020-07-20 |
| 1174034532 | Academy Oral Surgery LLC | Dentist | 10101 Academy Rd, Philadelphia, PA 19114-1120 | 2017-10-12 |
| 1124449434 | Elena Konakova | Nurse Practitioner | 10101 Academy Rd, Suite 104, Philadelphia, PA 19114-1177 | 2014-01-05 |
| 1619311529 | Alexander Botwick | Dentist | 10101 Academy Rd, Philadelphia, PA 19114-1120 | 2013-04-22 |
| 1447540364 | Academy Orthodontics LLC | Dentist | 10101 Academy Rd, Philadelphia, PA 19114-1120 | 2011-04-12 |
| 1184920456 | Scott M Silverman | Dentist | 10101 Academy Rd, Second Floor, Philadelphia, PA 19114-1120 | 2011-02-04 |
| 1083910350 | Edward S Litman | Dentist | 10101 Academy Rd, Second Floor, Philadelphia, PA 19114-1120 | 2011-02-04 |
| 1225334592 | David Romea | Dentist | 10101 Academy Rd, Second Floor, Philadelphia, PA 19114-1120 | 2011-02-04 |
| 1174799217 | Sleepcare Centers, Inc. | Specialist | 10101 Academy Rd, Ste: 101, Philadelphia, PA 19114-1120 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770066425 | Temple Faculty Practice Plan, Inc | Dentist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1164899423 | Scott Michael Steward-tharp | Dentist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2015-08-21 |
| 1992958219 | Riya Mahesh Kuklani | Dentist | 3401 N Broad St, Philadelphia, PA 19140 | 2008-10-30 |
| 1841456720 | Maria Lena Fornatora | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2008-07-31 |
| 1972602621 | Loftus-mermer Oral Surgical Associates | Dentist | 10101 Academy Rd, Suite 203, Philadelphia, PA 19114-1120 | 2006-09-21 |
| 1477668796 | James Theodore Castle | Dentist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356648471 | Elizabeth Ann Bilodeau | Dentist | G-141 Salk Hl, 3501 Terrace St, Pittsburgh, PA 15261-0001 | 2011-02-25 |
| 1790803583 | Neal Bozentka D.m. D | Dentist | 700 S Chester Rd, Swarthmore, PA 19081-2224 | 2007-03-27 |
| 1265571426 | Nicholas J Fedorka Dmd PC | Dentist | 505 Poplar Street, Meadville, PA 16335 | 2007-02-05 |
| 1124171632 | Allied Dental Group | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2007-01-19 |
| 1861574154 | Christine Stanely | Dentist | 1095 Texas Palmyra Hwy, Suite M, Honesdale, PA 18431-7672 | 2006-10-19 |
| 1003822636 | Robert J O'leary | Dentist | 200 Maple Ave, Corry, PA 16407-1655 | 2006-08-01 |
| 1245252659 | Michael J. Mundenar | Dentist | 606 Floral Vale Blvd, Yardley, PA 19067-5528 | 2006-07-24 |
| 1003847625 | Stephen Edward Irwin | Dentist | 317 North Eleventh Street, Sunbury, PA 17801 | 2006-07-05 |
| 1992765184 | Jeffrey Lee Rajchel | Dentist | 2201 Dover Rd, Harrisburg, PA 17112-1003 | 2006-03-23 |
| 1215906268 | Ira David Atcheson | Dentist | 255 3rd St, Beaver, PA 15009-2350 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
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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.