MR. RICHARD MCKAY LOVENBERG PA-C NPI 1679622104

NPI Information

  • NPI: 1679622104
  • Provider Name: MR. RICHARD MCKAY LOVENBERG, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1207 HIGHLAND DR
    WASHINGTON, NC
    ZIP 27889
  • Phone: (252) 946-6515

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NPI Details

MR. Richard Mckay Lovenberg, PA-C is a surgical physician assistant in Washington, NC. MR. Richard Mckay Lovenberg, PA-C NPI is 1679622104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1207 HIGHLAND DR
WASHINGTON, NC
ZIP 27889-405
Phone: (252) 946-6515

The NPI 1679622104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 1/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical102306NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S39795MEDICARE UPINNORTH CAROLINA
22743932MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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