JESSICA LEE LUETKEMEYER (NPI# 1003111972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003111972 |
| Entity Type | Individual |
| Full Name | JESSICA LEE LUETKEMEYER |
| Other Name | JESSICA LEE HEITERT |
| Credential | PA-C |
| Practice Address |
1125 N Porter Ave Suite 301 Norman OK 73071-6446 |
| Practice Telephone | 4053602777 |
| Mailing Telephone | 4053602777 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2012-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1960 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1125 N PORTER AVE SUITE 301 |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039645 | Norman Radiology Services, Inc | Radiology | 1125 N Porter Ave, Suite 100, Norman, OK 73071-6443 | 2005-11-04 |
| 1780132373 | Danielle Marie Casey | Nurse Anesthetist, Certified Registered | 1125 N Porter Ave, Ste 301, Norman, OK 73071-6446 | 2016-09-13 |
| 1346663010 | Ronisha Carpenter | Physician Assistant | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2014-01-30 |
| 1386892230 | Norman Endoscopy Center, LLC | Clinic/Center | 1125 N Porter Ave, Suite 206, Norman, OK 73071-6446 | 2008-09-04 |
| 1487829362 | Tony Huu Tran | Student in an Organized Health Care Education/Training Program | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2008-04-23 |
| 1780880252 | Serena Mitroo | Internal Medicine | 1125 N Porter Ave, Norman, OK 73071-6446 | 2007-06-22 |
| 1609929660 | Internal Medicine & Geriatric Practice, PC | Internal Medicine | 1125 N Porter Ave, 200, Norman, OK 73071-6443 | 2007-01-20 |
| 1467527044 | Kumar Ennamuri Md PC | Internal Medicine | 1125 N Porter Ave, Suite 101, Norman, OK 73071-6446 | 2006-11-21 |
| 1275604811 | Lisa B Connery Md Pllc | Family Medicine | 1125 N Porter Ave, Suite 205, Norman, OK 73071-6446 | 2006-11-13 |
| 1235222357 | Norman Neurology Inc. | Psychiatry & Neurology | 1125 N Porter Ave, Suite 300, Norman, OK 73071-6446 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1639647332 | Lauren Tomlinson | Physician Assistant | 1211 Dakota St, Norman, OK 73069-6805 | 2018-11-12 |
| 1669965190 | Ann Cloud | Physician Assistant | 1300 Lindale Ave, Norman, OK 73069-4421 | 2018-06-09 |
| 1518468313 | Surgical Helpers, Pllc | Physician Assistant | 3334 W Main St # 508, Norman, OK 73072-4805 | 2018-02-27 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1265862023 | Gordon Hart | Physician Assistant | 3351 W Rock Creek Rd Ste 100, Norman, OK 73072-2463 | 2013-11-14 |
| 1477792562 | Brian Horst Herb | Physician Assistant | 3620 24th Ave Nw, 63 Cst/wmd, Norman, OK 73069-8232 | 2009-02-12 |
| 1104849736 | Richard Francis Vanya | Physician Assistant | 3650 Stonebrook Dr, Norman, OK 73072-9111 | 2006-07-25 |
| 1487693743 | Avis J Lucas | Physician Assistant | 950 N Porter Ave Ste 200, Norman, OK 73071 | 2006-06-05 |
| Find all providers in NORMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.