DR. MARIO G LOOMIS (NPI# 1780778522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780778522 |
| Entity Type | Individual |
| Full Name | DR. MARIO G LOOMIS |
| Credential | MD |
| Practice Address |
225 Dolson Ave Suite 302 Middletown NY 10940-6569 |
| Practice Telephone | 8453426884 |
| Practice Fax Number | 8453424989 |
| Mailing Telephone | 8453426884 |
| Mailing Fax Number | 8453424989 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 69053 | NJ | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | MD046328L | PA | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 198000 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01553864 | 05 |
| Street Address |
225 DOLSON AVE SUITE 302 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-6569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381943 | Konan Chiang | Internal Medicine | 225 Dolson Ave, Suite 301, Middletown, NY 10940-6569 | 2005-07-28 |
| 1861951279 | Access: Supports for Living Inc | Community/Behavioral Health | 225 Dolson Ave, Middletown, NY 10940-6569 | 2019-03-15 |
| 1144539008 | Loomis Plastic Surgery, PC | Plastic Surgery | 225 Dolson Ave, Suite 302, Middletown, NY 10940-6569 | 2010-09-27 |
| 1407163355 | Arvind G. Kamthan, M.d.p.c. | General Practice | 225 Dolson Ave, Suite 301, Middletown, NY 10940-6569 | 2010-09-13 |
| 1043549462 | Heart To Heart Senior Home Care Service | Home Health | 225 Dolson Ave, Middletown, NY 10940-6569 | 2009-12-14 |
| 1609052018 | Anthony Schroder | Dentist | 225 Dolson Ave, Suite 205, Middletown, NY 10940-6569 | 2008-01-16 |
| 1407067986 | Middletown Nephrology Pllc | Internal Medicine | 225 Dolson Ave, Suite 301, Middletown, NY 10940 | 2007-05-25 |
| 1851507990 | Family Empowerment Council, Inc. | In Home Supportive Care | 225 Dolson Ave, Suite 403, Middletown, NY 10940-6569 | 2007-05-15 |
| 1689889529 | Xinjun Tu | Acupuncturist | 225 Dolson Ave, Suite 402, Middletown, NY 10940-6569 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881956514 | Mid State Md, LLC | Plastic Surgery | 85 Church St Ste 500, Middletown, CT 06457-3647 | 2012-06-08 |
| 1447283460 | Danuta Jaworska-bzymek | Plastic Surgery | 535 Saybrook Rd, Middletown, CT 06457 | 2006-07-10 |
| 1174801898 | Middlesex Plastic Surgery Center,llc | Plastic Surgery | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2011-07-29 |
| 1144539008 | Loomis Plastic Surgery, PC | Plastic Surgery | 225 Dolson Ave, Suite 302, Middletown, NY 10940-6569 | 2010-09-27 |
| 1427211853 | Stefan G. Chevalier, Do, PC | Plastic Surgery | 726 E Main St, Suite 201, Middletown, NY 10940-2653 | 2008-07-07 |
| 1457514226 | Mohamed Elfar | Plastic Surgery | 707 E Main St, Middletown, NY 10940-2650 | 2008-07-02 |
| 1649377094 | Stefan Gary Chevalier | Plastic Surgery | 726 E Main St, Suite 201, Middletown, NY 10940-2653 | 2006-09-20 |
| 1134198880 | Sandra L Sacks | Plastic Surgery | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
| 1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on DR. MARIO G LOOMIS.
| 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.