Fred Rudolph Loertscher, D.C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

CH00000853 Issued in WA

Practice address

1310 Simpson Ave
Aberdeen, WA 98520-4704

Phone

(360) 532-6545

Fax

(360) 532-6549

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1969

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fred R Loertscher DC PS

  dba Loertscher Chiropractic Clinic

  • Neurology Chiropractor
  • Aberdeen, WA
  • NPI 1194725986
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144371782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SIMPSON AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204704",
            "telephone_number": "360-532-6545",
            "fax_number": "360-532-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SIMPSON AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204704",
            "telephone_number": "360-532-6545",
            "fax_number": "360-532-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOERTSCHER",
        "first_name": "FRED",
        "middle_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "WA",
            "license": "CH00000853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTR",
            "identifier": "13278",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "LO0307",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shu Tuan Lim
• Lincare Inc.
• Alisha Joye Liscombe, SUDP
• Daniel Lee Lister
• Kirstin Michelle Lockett
• Patricia Kay Lokken, FNP
• Evelyn Marie Long, MSW
• Loren E. Laybourn, MD PS
• Elizabeth Anna Lorenzo
• Leisa Marie Lowdermilk

• Occupational Health Chiropractor in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Occupational Health Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.