DR. C GARY LOOSLI (NPI# 1447569447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447569447 |
| Entity Type | Individual |
| Full Name | DR. C GARY LOOSLI |
| Other Name | DR. CHARLES GARY LOOSLI |
| Credential | M.D. |
| Practice Address |
57755 Old Portland Rd Warren OR 97053-9411 |
| Practice Telephone | 5033973353 |
| Mailing Telephone | 5033973353 |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2010-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD06086 | OR | Other Service Providers |
| Street Address |
57755 OLD PORTLAND RD |
| City | WARREN |
| State | OR |
| Zip Code | 97053-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801124441 | Elaine S Brisbine | Licensed Practical Nurse | 58051 Columbia River Hwy, Warren, OR 97053-9417 | 2009-11-19 |
| 1447871066 | Sande School of Horsemanship | Clinic/Center | 33836 Bennett Rd, Warren, OR 97053-9706 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1285235408 | Kearisten Gaines | Psychologist | 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1801496559 | Kynlee Madison West | Occupational Therapy Assistant | 101 N Munn St, Warren, AR 71671-2951 | 2020-10-30 |
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1043819592 | Twila Jo Verbosky | Homemaker | 736 Meadowbrook Ave Se, Warren, OH 44484-4554 | 2020-10-25 |
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
| 1629676242 | Bernita Faye Diggs | Home Health | 1797 Brier St Se, Warren, OH 44484-5312 | 2020-10-15 |
| Find all providers in WARREN | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1922512151 | Quality Revenue Services LLC | Specialist | 22815 Hillock Ave, Warren, MI 48089-5418 | 2017-11-27 |
| 1730441148 | Deborah Fixell | Specialist | 163 Town Hill Rd, Warren, CT 06754-1809 | 2012-06-12 |
| 1083991335 | Ashok K Aggarwal Md | Specialist | 4439 Mahoning Ave Nw Ste B, Warren, OH 44483-1975 | 2011-11-14 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1528236106 | Electrical Workers Joint Board of Trustees | Specialist | 2277 E 11 Mile Rd, Suite Number 2, Warren, MI 48092-5217 | 2008-02-15 |
| 1841492709 | Center for Weight Management | Specialist | 13355 E. Ten Mile Rd., Suite Chm, Warren, MI 48089-2065 | 2007-06-04 |
| 1205853215 | Jareer S Hmoud | Specialist | 13430 E 13 Mile Rd, Warren, MI 48088-3187 | 2006-07-16 |
| 1508819475 | Great Lakes Seniors PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-05-19 |
| 1104878107 | Samir Zureick | Specialist | 28495 Hoover Rd, Warren, MI 48093-5438 | 2006-05-17 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on DR. C GARY LOOSLI.
| 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.