Frederick M Rauscher, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036120155 Issued in IL

Practice address

2020 W Iles Ave
Springfield, IL 62704-7015

Phone

(217) 698-3030

Fax

(217) 698-4728

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1316147564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047015",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047015",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCHER",
        "first_name": "FREDERICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME99072",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036120155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00621420",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120155",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Rasche, LCPC
• Alita M. Rastello, AGACNP-BC
• Jennifer J Ratliff, RPH
• Jennifer Lynn Ratliff
• Ashley Raufer, DNP, PMHNP-BC
• Andrew Rauth
• Jennifer Rose Raven
• Sri Vishnu Priya Ravipati, MD
• Audrey Rawlins, CCC-SLP M.A.
• Jessie Lyin Rawlins

• Ophthalmology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.