Individual provider Active NPI

Jerrel R Lochner, MD

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1386746485
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00016127 Issued in WA
Practice address
9631 N Nevada St
Ste 300
Spokane, WA 99218-1193
Phone
(509) 489-4040
Fax
(509) 489-9190
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00016127 WA Primary

Addresses

Primary practice location

9631 N Nevada St
Ste 300
Spokane, WA 99218-1193

Mailing address

406 E Rowan Ave
Suite 200
Spokane, WA 99207-1243
Phone (509) 489-4040

Other identifiers 5

IdentifierTypeStateIssuer
756111858OtherWATRAV MEDICARE
91-2038205OtherWAFEDERAL ID
15743OtherL I
1289503MedicaidWA
1386746485OtherWANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123001042 WA Practitioner - Internal Medicine 6305748864 Practice locations: Spokane, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Echelberger PLLC Internal Medicine Current Accepting new patients

Locations

406 E Rowan Ave
Ste 200
Spokane, WA 99207
Phone (509) 489-4040

9631 N Nevada St
Ste 300
Spokane, WA 99218
Phone (509) 465-3919

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1386746485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E ROWAN AVE",
            "address_2": "SUITE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071243",
            "telephone_number": "509-489-4040",
            "fax_number": "509-489-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST",
            "address_2": "STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181193",
            "telephone_number": "509-489-4040",
            "fax_number": "509-489-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHNER",
        "first_name": "JERREL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00016127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAV MEDICARE",
            "identifier": "756111858",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID",
            "identifier": "91-2038205",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L I",
            "identifier": "15743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1289503",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386746485",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.