DAVID LUTZ (NPI# 1174032924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174032924 |
| Entity Type | Individual |
| Full Name | DAVID LUTZ |
| Credential | PA-C |
| Practice Address |
1582 E 21st St Brooklyn NY 11210-5036 |
| Practice Telephone | 3474461999 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013944966 | David Joseph Lutz | Chiropractor | 5740 Brooklyn Boulevard, 100, Brooklyn Center, MN 55429 | 2006-06-27 |
| 1245276302 | David Robert Lutz | Chiropractor | 3326 Sw 4th Place, Cape Coral, FL 33914 | 2006-06-20 |
| 1639166168 | David J Lutz | Psychologist | 1320 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2005-09-30 |
| 1073124814 | David Michael Lutz | Pharmacist | 343 N Wallace Wilkinson Blvd, Liberty, KY 42539-3017 | 2020-08-14 |
| 1477079341 | David Joseph Lutz | Chiropractor | 497 Sw Century Dr Ste 120, Bend, OR 97702-1167 | 2017-08-22 |
| 1902351257 | David Lutz | Pharmacist | 17 W Main St, Hummelstown, PA 17036-1516 | 2016-08-16 |
| 1821497967 | David Lutz | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2014-08-14 |
| 1154428126 | David Johnathan Lutz | Nurse Anesthetist, Certified Registered | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2006-09-20 |
| 1518073733 | David R. Lutz | Physical Therapist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2006-08-21 |
| 1114969383 | David A. Lutz | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2006-06-12 |
| Street Address |
1582 E 21ST ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| 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 |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| Find all providers in BROOKLYN | ||||
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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.