Provider Demographics
NPI:1154304194
Name:LOFTUS, JAMES MORGAN
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MORGAN
Last Name:LOFTUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 PARK RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3239
Mailing Address - Country:US
Mailing Address - Phone:704-323-2000
Mailing Address - Fax:
Practice Address - Street 1:354 COPPERFIELD BLVD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025
Practice Address - Country:US
Practice Address - Phone:704-323-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23403207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0941238OtherUNITED HEALTHCARE
2069460OtherAETNA US HEALTHCARE
256163OtherONE HEALTH PLAN
3846388003OtherCIGNA HEALTHCARE
SCQ23403Medicaid
4066548OtherAETNA
NC8952479Medicaid
530005OtherPRINCIPAL HEALTHCARE
200034171OtherRAILROAD MEDICARE
22305OtherPARTNERS MEDICARE
27171OtherMEDCOST
52479OtherBCBS OF NC
NC208305AMedicare ID - Type Unspecified
22305OtherPARTNERS MEDICARE
SCQ23403Medicaid