Individual provider Active NPI

John Charles Huscher, MD

  • Family Medicine Physician
  • Norfolk, NE
National Provider Identifier
1417072141
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14818 Issued in NE
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 644-7543
Fax
(402) 644-7503
NPI assigned
Mar 20, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14818 NE Primary

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

1212 Crown Rd
Norfolk, NE 68701-1144
Phone (402) 379-8028

Other identifiers 3

IdentifierTypeStateIssuer
1984OtherNEFRHS MIDLANDS CHOICE
47079687513MedicaidNE
D04045OtherNEFRHS BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20040524000636 NE Practitioner - Family PracticePractitioner - Emergency Medicine 4082605464 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14818NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nebraska Dept of Admin Services CurrentSince Sep 26, 2012 Accepting new patients
State of Nebraska Dept of Admin Services Current Accepting new patients
State of Nebraska Dept of Admin Services CurrentSince Sep 26, 2012 Accepting new patients
State of Nebraska Dept of Admin Services Past Accepting new patients

Locations

1700 N Victory Rd
Norfolk, NE 68701
Phone (402) 370-3330

600 E Benjamin Ave
Norfolk, NE 68701
Phone (402) 370-3330

Organizations & group practices 4

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417072141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CROWN RD",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687011144",
            "telephone_number": "402-379-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-644-7543",
            "fax_number": "402-644-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSCHER",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "14818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRHS MIDLANDS CHOICE",
            "identifier": "1984",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079687513",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRHS BCBS",
            "identifier": "D04045",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.