DEBORAH A LUETZOW (NPI# 1285688713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285688713 |
| Entity Type | Individual |
| Full Name | DEBORAH A LUETZOW |
| Other Name | DEBORAH A LUETZOW-FRANSON |
| Credential | MD |
| Practice Address |
2413 W Rawson Ave Oak Creek WI 53154-1323 |
| Mailing Address |
2413 W. Rawson Ave Oak Creek WI 53154 |
| Practice Telephone | 4143330064 |
| Mailing Telephone | 4143330064 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
29691 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BLUE CROSS BLUE SHIELD | 391703395015 | 01 |
| WI | 31555700 | 05 |
| Street Address |
2413 W RAWSON AVE |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427214501 | Muzaffar Baig Mirza | Family Medicine | 2976 Edenberry St, Fitchburg, WI 53711-6950 | 2008-07-29 |
| 1720101447 | Robert G Montgomery | Family Medicine | 8570 S 116th St, Franklin, WI 53132-8803 | 2007-04-09 |
| 1447388350 | Robert Earl Kerwin Jr. | Family Medicine | 333 E. Campus Mall, Madison, WI 53715-1381 | 2007-03-01 |
| 1184768129 | Charles E Larson | Family Medicine | Flci, W10237 Lake Emily Rd, Fox Lake, WI 54935-8525 | 2007-02-15 |
| 1154411486 | Paul Henry Hunter | Family Medicine | 841 N Broadway Rm 315, Milwaukee, WI 53202-3613 | 2006-10-16 |
| 1851310411 | Steven Ronald Coenen | Family Medicine | 10 Triparkway, Va Clinic, Appleton, WI 54914 | 2006-07-18 |
| 1548257124 | Paul Hankwitz | Family Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2005-09-29 |
| 1184155194 | Richard Edgar Rieselbach | Family Medicine | 2711 Allen Blvd, Middleton, WI 53562 | 2017-03-22 |
| 1275978983 | Numale Medical Center LLC | Family Medicine | 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226-1309 | 2013-05-08 |
| 1376851311 | Progressive Community Health Centers, Inc | Family Medicine | 1452 N 7th St, 2nd Floor, Milwaukee, WI 53205-2301 | 2010-09-23 |
| Find all providers with the same taxonomy | ||||
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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.