MR. JOSEPH LUTZ PA-C NPI 1114945599

NPI Information

NPI: 1114945599
Provider Name: MR. JOSEPH LUTZ, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
200 MAPLEWOOD AVE
RONCEVERTE, WV
ZIP 24970
Phone: (304) 647-1148
Get Directions

MR. Joseph Lutz, PA-C is a medical physician assistant in Ronceverte, WV. MR. Joseph Lutz, PA-C NPI is 1114945599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 MAPLEWOOD AVE
RONCEVERTE, WV
ZIP 24970-334
Phone: (304) 647-1148
Fax: (304) 793-2208

The NPI 1114945599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	536	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S44017	MEDICARE UPIN	WEST VIRGINIA
2	0754350001	MEDICARE NSC
3	970003810	OTHER	WEST VIRGINIA	CIGNA
4	LUPA10131	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
5	48/47	OTHER	WEST VIRGINIA	MTST BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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