Provider Demographics
NPI:1386273233
Name:LOOMIS, JAMES RENWICK III (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RENWICK
Last Name:LOOMIS
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:8205 MAIN ST STE 10
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6054
Mailing Address - Country:US
Mailing Address - Phone:716-539-0789
Mailing Address - Fax:716-250-9090
Practice Address - Street 1:95 EARHART DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7801
Practice Address - Country:US
Practice Address - Phone:716-565-9030
Practice Address - Fax:716-250-9090
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2025-12-04
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Provider Licenses
StateLicense IDTaxonomies
NY322716207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine