Active NPI
Edward Frank Loker Jr., M.D.
- Internal Medicine Physician
- Vancouver, WA
National Provider Identifier
1952418220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00020461
- Practice address
- 14208 NW 55TH CT
Vancouver, WA 98685-1191 - Phone
- (415) 572-3390
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00020461 | WA | Primary |
Addresses
Primary practice location
14208 NW 55TH CT
Vancouver, WA 98685-1191
Mailing address
14208 NW 55TH CT
Vancouver, WA 98685-1191
Phone (415) 572-3390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63914 | CA | MD | Pharmacist |
| 00020461 | WA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1952418220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14208 NW 55TH CT",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986851191",
"telephone_number": "415-572-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14208 NW 55TH CT",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986851191",
"telephone_number": "415-572-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOKER",
"first_name": "EDWARD",
"middle_name": "FRANK",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "WA",
"license": "00020461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.