DR. GERALD P LOUSHIN MD - NPI 1063490928 - Ophthalmology in Maple Grove, MN

Q: What is Gerald Loushin's NPI number?

The NPI number for Gerald Loushin is 1063490928. It was assigned to this individual provider in the NPPES registry on January 2, 2006.

Q: What is Gerald Loushin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Loushin was last updated on March 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Gerald P Loushin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERALD P LOUSHIN MD (NPI 1063490928) is an individual ophthalmology provider in Maple Grove, Minnesota, licensed in Minnesota (40569) and active in the NPI registry since January 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063490928

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. GERALD P LOUSHINCredential: MD

Location Address12000 ELM CREEK BLVD N STE 100Maple Grove, MN 55369-7074

Mailing Address8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488 · (763) 416-7629 · Fax (763) 383-4147

Phone(763) 416-7600

Fax(763) 416-7634

Sole ProprietorNo

Enumeration DateJanuary 2, 2006

Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration

NPPES CertifiedMarch 17, 2020

✔ NPI 1063490928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MN · 40569

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

12000 ELM CREEK BLVD N STE 100, Maple Grove, MN 55369

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Secondary Practice Locations 2

Location 18501 Golden Valley Rd Ste 100Golden Valley, MN 55427-4472 · Phone (763) 416-7600 · Fax (763) 416-7634

Location 22601 39th Ave NE Ste 1St. Anthony, MN 55421 · Phone (763) 416-7600 · Fax (763) 416-7634

Other Identifiers 1

Medicaid808816100MN

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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