MR. PHILLIP ALBERT LOESCH (NPI# 1821189929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821189929 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP ALBERT LOESCH |
| Credential | ATC, CSCS |
| Practice Address |
4048 Cedar Bluff Dr Suite 2 Petoskey MI 49770-8895 |
| Mailing Address |
3209 N State Rd Harbor Springs MI 49740-9756 |
| Practice Telephone | 2313479300 |
| Practice Fax Number | 2313471613 |
| Mailing Telephone | 2312421151 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4048 CEDAR BLUFF DR SUITE 2 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538123906 | Northern Michigan Sports Medicine Center | Clinic/Center | 4048 Cedar Bluff Dr, Suite 2, Petoskey, MI 49770-8895 | 2006-04-13 |
| 1801242359 | Adam Ancel | Physician Assistant | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2016-05-13 |
| 1174808992 | Bay Street Orthopaedics Pllc | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-10-12 |
| 1003196015 | Alfred J Wroblewski Md PC | Durable Medical Equipment & Medical Supplies | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-08-22 |
| 1477847564 | Brian D Wittenberg | Durable Medical Equipment & Medical Supplies | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-06-06 |
| 1649564733 | Ronald A Ronquist Md PC | Durable Medical Equipment & Medical Supplies | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-06-06 |
| 1396039483 | Joseph W Hance Md PC | Durable Medical Equipment & Medical Supplies | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-06-06 |
| 1922392018 | Mark R Mcmurray Md PC | Durable Medical Equipment & Medical Supplies | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-06-06 |
| 1124312228 | Scott A Nemec Do PC | Durable Medical Equipment & Medical Supplies | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-06-06 |
| 1235423336 | Daniel K Wilcox Md PC | Durable Medical Equipment & Medical Supplies | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770-8895 | 2011-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319354 | Kiley Elizabeth Horn | Specialist/Technologist | 4114 Oakwood Trl, Petoskey, MI 49770-8575 | 2020-09-03 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1417377235 | Drew E Styma | Specialist/Technologist | 1333 Spring St, Petoskey, MI 49770-8720 | 2014-04-19 |
| 1982748323 | Patricia Sue Schmoldt | Specialist/Technologist | 4048 Cedar Bluff Dr, Suite 2, Petoskey, MI 49770-8895 | 2007-02-19 |
| 1548310378 | Julie A Slifka | Specialist/Technologist | 4048 Cedar Bluff Dr, Suite 2, Petoskey, MI 49770-8895 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
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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.