NPIMap

Organization Active NPI

Fred Luke Herscher

Doing business as Sutherlin Health Clinic

  • Family Medicine Physician
  • Sutherlin, OR
National Provider Identifier
1336339266
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO13700 Issued in OR
Legal business name
FRED LUKE HERSCHER
Doing business as
Sutherlin Health Clinic
Practice address
781 W Central Ave
Sutherlin, OR 97479-9472
Phone
(541) 459-0303
Fax
(541) 459-1657
NPI assigned
Jul 26, 2007
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Fred Luke Herscher, D.O.NPI 1619974235
Title
Physican
Phone
(541) 459-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO13700 OR Primary

Addresses

Primary practice location

781 W Central Ave
Sutherlin, OR 97479-9472

Mailing address

781 W Central Ave
Sutherlin, OR 97479-9472
Phone (541) 459-0303

Other names 1

  • Sutherlin Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

781 W Central Ave
Sutherlin, OR 97479
Phone (541) 459-0303

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1336339266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 W CENTRAL AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799472",
            "telephone_number": "541-459-0303",
            "fax_number": "541-459-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 W CENTRAL AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799472",
            "telephone_number": "541-459-0303",
            "fax_number": "541-459-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED LUKE HERSCHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "HERSCHER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "541-459-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO13700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutherlin Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sutherlin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.