# DR. LOREN FORREST HIRATZKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982696340
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 25039 | KY | — |
| 208600000X | Surgery Physician | 18359 | IA | — |
| 208600000X | Surgery Physician | 25039 | KY | — |
| 208600000X | Surgery Physician | 35054450H | OH | — |
| 208600000X | Surgery Physician | C34038 | CA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 18359 | IA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 25039 | KY | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35054450H | OH | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | C34038 | CA | — |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 03/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000005631 | ANTHEM | — |
| 05 | — | 0640202 | — | OH |
| 01 | — | 1820061 | UNITEDHEALTHCARE | — |
| 05 | — | 200057970A | — | IN |
| 01 | — | 310804060031 | CARESOURCE | — |
| 01 | — | 54450 | CHOICE CARE/HUMANA | — |
| 05 | — | 64862717 | — | KY |
| 01 | — | 8330 | KY BCBS | — |