DR. PAUL MICHAEL LUTTER (NPI# 1144465915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144465915 |
| Entity Type | Individual |
| Full Name | DR. PAUL MICHAEL LUTTER |
| Credential | DMSC, PA-C |
| Practice Address |
H100 Santa Margarita Road Naval Hospital, Camp Pendleton Attn: Code 094 Camp Pendleton CA 92055-5191 |
| Mailing Address |
2419 W Southlake Blvd Ste 100 Southlake TX 76092-1506 |
| Practice Telephone | 7607257029 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA20011 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11499 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
H100 SANTA MARGARITA ROAD NAVAL HOSPITAL, CAMP PENDLETON ATTN: CODE 094 |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92055-5191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917038 | Wayne Scott Inman | Orthopaedic Surgery | H100 Santa Margarita Road, Naval Hospital, Camp Pendleton, CA 92055-5191 | 2005-08-01 |
| 1801223920 | Ashley Hetro | Pharmacist | H100 Santa Margarita Road, Naval Hospital, Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2013-10-03 |
| 1346681855 | John Edgar Elam IIi | Specialist | H100 Santa Margarita Road, Naval Hospital, Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2013-07-12 |
| 1528408390 | Katherine Noel | Nurse Practitioner | H100 Santa Margarita Road, Naval Hospital, Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2013-06-26 |
| 1629417894 | Madelyn Paula Kozub | Registered Nurse | H100 Santa Margarita Road, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2013-06-20 |
| 1053665257 | Mark Riebel | Physical Medicine & Rehabilitation | H100 Santa Margarita Road, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2012-11-09 |
| 1588918908 | Grant Ronald Layton | Dentist | H100 Santa Margarita Road, Attention: Code 00qm, Camp Pendleton, CA 92055-5191 | 2012-11-07 |
| 1942554373 | United States Navy | Military Hospital | H100 Santa Margarita Road, Attention: Code 00qm, Camp Pendleton, CA 92055-5191 | 2012-11-07 |
| 1558615807 | Joseph Martin Kidd | Occupational Therapist | H100 Santa Margarita Road, Attention: Code 00qm, Camp Pendleton, CA 92055-5191 | 2012-11-07 |
| 1548519846 | Anne Vu Nguyen | Pharmacist | H100 Santa Margarita Road, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 | 2012-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982673760 | Evan Ashby Thorley | Physician Assistant | Musculoskeletal Services Dept, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2006-03-15 |
| 1639157134 | Craig Taylor Jones | Physician Assistant | Camp Pendleton Naval Hospital, Bldg H100 Attn: Code 094, Camp Pendleton, CA 92055-5191 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | CAMP PENDLETON |
| Zip Code | 92055 |
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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.