LARRY JOHN LUTZ JR. (NPI# 1023048121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023048121 |
| Entity Type | Individual |
| Full Name | LARRY JOHN LUTZ JR. |
| Credential | CRNA |
| Practice Address |
1500 S Main St Eaton Rapids MI 48827-1952 |
| Mailing Address |
7176 Crown Pointe Cir Portage MI 49024-4038 |
| Practice Telephone | 5176632671 |
| Mailing Telephone | 2693218736 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704189964 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648343 | Larry W Lutz | Family Medicine | 802 E Oak St, Fort Branch, IN 47648-1666 | 2005-06-08 |
| 1386662294 | Larry W Lutz II | Counselor | 284 Martin St, Twin Falls, ID 83301-4562 | 2006-07-18 |
| Street Address |
1500 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803087 | Tess Marie Powell | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-08-27 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1306467238 | Mclaren Central Michigan | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-05-01 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1730660689 | Laura Squier | Occupational Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-08-28 |
| 1861986317 | Matthew Weber Austin | Counselor | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-19 |
| 1447742465 | Meggen M Baynes | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-05 |
| 1750883625 | Jessica Mae Seguin | Speech-Language Pathologist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-06 |
| 1912409376 | Staci Feldpausch | Physical Therapy Assistant | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-01 |
| 1750882312 | Blake Mueller | Physical Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1285824805 | Paul D Hankenson Do PC | General Practice | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2007-07-30 |
| 1487893665 | Teresa Gwen Miller | Physical Therapy Assistant | 118 Lansing St, Eaton Rapids, MI 48827-1024 | 2009-02-12 |
| 1295875284 | Central Pharmacy- Eaton Rapids, LLC | Pharmacy | 122-124 S Main Street, Eaton Rapids, MI 48827-1068 | 2007-02-07 |
| Find all providers in zip 48827 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1245850957 | Black River Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 7245 Baseline Rd, South Haven, MI 49090-9176 | 2020-04-22 |
| 1669008017 | Kalin Elizabeth Wade | Nurse Anesthetist, Certified Registered | 4485 Kenneth Dr Apt C207, Okemos, MI 48864-1900 | 2020-03-18 |
| 1215568340 | Complete Ketamine Inc | Nurse Anesthetist, Certified Registered | 98 Winchester St, Monroe, MI 48161-1957 | 2020-01-28 |
| 1730729740 | Pride Mudzwova | Nurse Anesthetist, Certified Registered | 57693 Dakota Dr, New Hudson, MI 48165-9336 | 2020-01-08 |
| 1982249041 | Leif Elias | Nurse Anesthetist, Certified Registered | 3443 Oak Dr, Ann Arbor, MI 48105-9798 | 2019-11-13 |
| 1619512779 | Yvonne Marie Bridgeford | Nurse Anesthetist, Certified Registered | 2113 Mason Rd, Howell, MI 48843-8903 | 2019-11-13 |
| 1184269243 | Jaclyn Rochefort | Nurse Anesthetist, Certified Registered | 5381 Frovan Pl, Saginaw, MI 48638-5573 | 2019-11-13 |
| 1932744091 | Sean S Vanderwaal | Nurse Anesthetist, Certified Registered | 1420 Perry Rd Apt 1-8, Grand Blanc, MI 48439-1727 | 2019-11-13 |
| 1467093153 | Apollo Medical Group of Traverse City Pllc | Nurse Anesthetist, Certified Registered | 3663 N Country Dr, Traverse City, MI 49684-4587 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | EATON RAPIDS |
| Zip Code | 48827 |
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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.