Provider Demographics
NPI:1306887252
Name:LOKE, MONICA W (MD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:W
Last Name:LOKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1001 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2800
Mailing Address - Country:US
Mailing Address - Phone:419-998-4575
Mailing Address - Fax:419-998-4586
Practice Address - Street 1:1005 BELLEFONTAINE AVE STE 225
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2896
Practice Address - Country:US
Practice Address - Phone:419-998-8200
Practice Address - Fax:419-998-8203
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200401532207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
2154608OtherUNITED HEALTHCARE
5044090OtherCIGNA
142N9OtherBCBS
187997OtherMEDCOST
5212119OtherAETNA
NC5903727Medicaid
P00361727OtherMEDICARE RAILROAD
46659OtherPARTNERS
P00361727OtherMEDICARE RAILROAD
2051620Medicare PIN