Dr. Michael Jay Loebenberg, M.D.
Internal Medicine, Gastroenterology in Ocean Springs, MS. Individual provider (NPI-1).
NPI number1790785277
StatusActive
Last updated in NPPESJan 27, 2014
Details
- NPI
- 1790785277
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Jay Loebenberg
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2005
- Last updated
- Jan 27, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- Excluded since Mar 20, 2018 (1128a4)
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 17240 | MS | Yes |
Practice location
3890 Bienville BlvdOcean Springs, MS 39564-5803
Phone 228-872-6291 · Fax 228-872-7627
Mailing address
3890 Bienville BlvdOcean Springs, MS 39564-5803
Phone 228-872-6291 · Fax 228-872-7627
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gastroenterology Physician providers in Ocean Springs, MS
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All 7 Gastroenterology Physician providers in Ocean Springs · All 991 providers in Ocean Springs
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