NPIMap

Individual provider Active NPI

Jason R Lorch, DO

  • Internal Medicine Physician
  • Paducah, KY
National Provider Identifier
1649265109
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02754 Issued in KY
Practice address
3131 Parisa Dr
Paducah, KY 42003-4584
Phone
(270) 444-8000
Fax
(270) 444-8302
NPI assigned
Sep 12, 2005
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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 02754 KY Primary

Addresses

Primary practice location

3131 Parisa Dr
Paducah, KY 42003-4584

Mailing address

3131 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 444-8000

Other identifiers 1

IdentifierTypeStateIssuer
64051402MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000539 KY Practitioner - Internal Medicine 4082756697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four Rivers Internal Medicine PLLCGroup PAC ID 9032196787, 4 clinicians

Practice addresses (Care Compare)

3131 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 444-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02754KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Four Rivers Internal Medicine, PLLC Internal Medicine CurrentSince Aug 1, 2002 Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

2603 Kentucky Ave
Ste 301
Paducah, KY 42003
Phone (270) 444-8000

3131 Parisa Dr
Paducah, KY 42003
Phone (270) 444-8000

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1649265109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-444-8000",
            "fax_number": "270-444-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-444-8000",
            "fax_number": "270-444-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORCH",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "02754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64051402",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.