Provider Demographics
NPI:1386691855
Name:LOYNES, JAMES THOMAS (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:LOYNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2901
Mailing Address - Country:US
Mailing Address - Phone:252-808-6177
Mailing Address - Fax:252-808-6637
Practice Address - Street 1:3500 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2901
Practice Address - Country:US
Practice Address - Phone:252-808-6177
Practice Address - Fax:252-808-6637
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234459207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
289424OtherANTHEM/BCBS
214911OtherSOUTHERN HEALTH
0561910OtherCIGNA
VA66801OtherOPTIMA
VA010006121Medicaid
VA1000870001OtherDME PROVIDER
WV2004878-000OtherWV MEDICAID
P00009123OtherRAILROAD MEDICARE
VA66801OtherOPTIMA
P00009123OtherRAILROAD MEDICARE
002048R74Medicare ID - Type Unspecified