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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 codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology17240MSYes

Practice location

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Phone 228-872-6291 · Fax 228-872-7627

Mailing address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Phone 228-872-6291 · Fax 228-872-7627

Is something wrong?

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

All 7 Gastroenterology Physician providers in Ocean Springs · All 991 providers in Ocean Springs

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