Loren L Russcher, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301034886 Issued in MI

Practice address

4341 S Westnedge Ave
Suite 2103
Kalamazoo, MI 49008-3286

Phone

(269) 343-5600

Fax

(269) 343-4109

NPI assigned

Sep 6, 2006

Last updated

May 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Loren L Russcher MD

  dba L L Russcher MD

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1619195187
  NPD (past) Authorized official
• Premier Medical Care P C

  dba Premier Radiology

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1487696589
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1447353586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "SUITE 2103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083286",
            "telephone_number": "269-343-5600",
            "fax_number": "269-343-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "SUITE 2103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083286",
            "telephone_number": "269-343-5600",
            "fax_number": "269-343-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSCHER",
        "first_name": "LOREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301034886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093686",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Rumph, MSN, AGACNP-BC
• Jessica Dawn Runyan, PA-C
• Katie Runyon
• William Rupp III, DDS
• Matthew G Rushlau, ED.D.
• Jared Russel, BT
• Andrew John Russell, MD
• Ceirra Alise Russell, LLMSW
• Luke Raymond Russell, DO
• Nicole Russell

• Internal Medicine Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.