Basic Information
| Provider Information | |||||||||
| NPI: | 1306887252 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOKE | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 BELLEFONTAINE AVE | ||||||||
| Address2: | |||||||||
| City: | LIMA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458042800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4199984575 | ||||||||
| FaxNumber: | 4199984586 | ||||||||
| Practice Location | |||||||||
| Address1: | 1005 BELLEFONTAINE AVE STE 225 | ||||||||
| Address2: | |||||||||
| City: | LIMA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458042896 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4199988200 | ||||||||
| FaxNumber: | 4199988203 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2006 | ||||||||
| LastUpdateDate: | 04/11/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 200401532 | NC | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
ID Information
| ID | Type | State | Issuer | Description | 2154608 | 01 | UNITED HEALTHCARE | OTHER | 5044090 | 01 | CIGNA | OTHER | 142N9 | 01 | BCBS | OTHER | 187997 | 01 | MEDCOST | OTHER | 5212119 | 01 | AETNA | OTHER | 5903727 | 05 | NC | MEDICAID | P00361727 | 01 | MEDICARE RAILROAD | OTHER | 46659 | 01 | PARTNERS | OTHER |