DR. ANDREW CHARLES LUEA (NPI# 1154558104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154558104 |
| Entity Type | Individual |
| Full Name | DR. ANDREW CHARLES LUEA |
| Credential | D.O. |
| Practice Address |
3922 Cedar Run Rd Traverse City MI 49684-9687 |
| Practice Telephone | 2319350322 |
| Mailing Telephone | 2319350322 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5101018444 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3922 CEDAR RUN RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-9687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645842 | Wayne Kenneth Stefanciw | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-03 |
| 1811522980 | Sherry L Joanette | Nurse Practitioner | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2020-03-09 |
| 1235504945 | Stephen Ereg | Registered Nurse | 3922 Cedar Run Rd, Traverse City, MI 49684 | 2015-12-07 |
| 1952777153 | Valleri Raupp | Nurse Practitioner | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2015-08-11 |
| 1427466499 | Munson Medical Center | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2014-07-23 |
| 1366643587 | Diane Begg Young | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2007-05-29 |
| 1740237007 | Bay Area Urology Associates, PC | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2006-05-30 |
| 1780665950 | Jennifer Lynn Tursman | Physician Assistant | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-07 |
| 1497736656 | Robert Michael Hall | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-07 |
| 1053302562 | Ward Robert Gillett | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366511560 | Michael Harris | Urology | 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 | 2006-11-06 |
| 1487645842 | Wayne Kenneth Stefanciw | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-03 |
| 1427466499 | Munson Medical Center | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2014-07-23 |
| 1366643587 | Diane Begg Young | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2007-05-29 |
| 1740237007 | Bay Area Urology Associates, PC | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2006-05-30 |
| 1497736656 | Robert Michael Hall | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-07 |
| 1053302562 | Ward Robert Gillett | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-03 |
| 1912998477 | Jay A Starr | Urology | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
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| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.