Individual
DR. JOHN LOUGHRAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 KRESGE WAY STE 60, LOUISVILLE, KY 40207-4690
(502) 893-7710
(502) 893-1391
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531701
ANTHEM - NICC
—
01
—
000000622490
ANTHEM
KY
01
—
000057043H
HUMANA
KY
01
—
00533016
MEDICARE NIS
KY
01
—
094508
SIHO
KY
05
—
200969410
—
IN
01
—
3726615000
PASSPORT ADVANTAGE
KY
01
—
50024877
PASSPORT
KY
05
—
710005870
—
KY
01
—
P00460520
RAILROAD MEDICARE
KY
Enumeration date
03/01/2007
Last updated
12/11/2020
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