Individual provider Active NPI

Fernando O'Loughlin, D.C.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1316002306
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008761 Issued in PA
Practice address
826 Christian St Side Entrance
Philadelphia, PA 19147-3947
Phone
(215) 922-2242
Fax
(215) 922-2243
NPI assigned
Dec 27, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008761 PA Primary

Addresses

Primary practice location

826 Christian St Side Entrance
Philadelphia, PA 19147-3947

Mailing address

269 Springdale Ter
Yardley, PA 19067-3422
Phone (215) 922-2242

Other identifiers 2

IdentifierTypeStateIssuer
001416434OtherPAHIGHMARK BLUE SHIELD
2103005000OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000804 PA Practitioner - Chiropractic 6800085614 Practice locations: Springfield, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

816 W Springfield Rd
Springfield, PA 19064-1222
Phone (214) 844-4077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC008761PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Germantown Health and Wellness, P.C. Chiropractor CurrentSince Mar 27, 2024 Accepting new patients
JL Medical Consultants PC Past Accepting new patients
Dennis T. Rehrig DC PC Chiropractor Past Accepting new patients
Discover Health Chiropractic P.C. Chiropractor PastSince Jul 2, 2003 Accepting new patients
Dr. O. Family Chiropractic Chiropractor PastSince Sep 1, 2002 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1316002306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SPRINGDALE TER",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190673422",
            "telephone_number": "215-922-2242",
            "fax_number": "215-922-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CHRISTIAN ST SIDE ENTRANCE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473947",
            "telephone_number": "215-922-2242",
            "fax_number": "215-922-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LOUGHLIN",
        "first_name": "FERNANDO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001416434",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2103005000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.