Active NPI
Fred Luke Herscher, DO
- Family Medicine Physician
- Sutherlin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13700
- Practice address
- 781 W Central Ave
Sutherlin, OR 97479-9472 - Phone
- (541) 459-0303
- Fax
- (541) 459-1657
- NPI assigned
- Jun 29, 2005
- Last updated
- Apr 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13700 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1813 W Harvard Ave
Suite 140
Roseburg, OR 97471-2743
Phone (541) 677-6553
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13700 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorgensen Family Medicine PC | Family Medicine | Current | Accepting new patients |
Locations
1813 W Harvard Ave
Ste 140
Roseburg, OR 97471
Phone (541) 229-7275
Interoperability endpoints
- luke.herscher.1@28281.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1790482057
-
dba Sutherlin Health Clinic
- Family Medicine Physician
- Sutherlin, OR
- NPI 1336339266
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health Care
- Home Health Agency
- Roseburg, OR
- NPI 1093908725
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1619974235",
"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": {
"last_name": "HERSCHER",
"first_name": "FRED",
"middle_name": "LUKE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-29",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "13700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.