DR. JEFFREY A. LUTY (NPI# 1558442335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558442335 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A. LUTY |
| Credential | MD |
| Practice Address |
230 Rowe Rd Wheeler OR 97147-0035 |
| Mailing Address |
17710 Sw Vincent St Aloha OR 97078-1782 |
| Practice Telephone | 5033685182 |
| Practice Fax Number | 5033685590 |
| Mailing Telephone | 5033144059 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD155853 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898119 | Jeffrey L Luty | Optometrist | 1000 N Brown St Ste A, Abilene, KS 67410-1824 | 2005-06-01 |
| Street Address |
230 ROWE RD |
| City | WHEELER |
| State | OR |
| Zip Code | 97147-0035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120202 | Elissa Michelle Poillon | Pharmacy Technician | 230 Rowe Rd, Wheeler, OR 97147-0035 | 2020-07-02 |
| 1265924948 | Richard Silverman | Pharmacist | 230 Rowe Rd, Wheeler, OR 97147-0035 | 2018-05-30 |
| 1285125229 | Eli Andersen | Naturopath | 230 Rowe Rd, Wheeler, OR 97147-0035 | 2018-05-25 |
| 1982030011 | Sara Todd | Social Worker | 230 Rowe Rd, Wheeler, OR 97147-0035 | 2013-09-20 |
| 1659649879 | Leanna T Coy | Nurse Practitioner | 230 Rowe Rd, Wheeler, OR 97147-0035 | 2011-12-01 |
| 1366750218 | Rinehart Clinic | Pharmacy | 230 Rowe Rd, Wheeler, OR 97147-0035 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528369196 | Wheeler Care Center LLC | Skilled Nursing Facility | 280 Rowe Street, Wheeler, OR 97147 | 2010-11-12 |
| 1194929414 | Raechel Jennifer Massie | Physical Therapist | 278 Rowe Street, Wheeler, OR 97147 | 2007-06-12 |
| 1538370184 | Steven Frank Taccogna | Chiropractor | 278 Rowe, #201, Wheeler, OR 97147 | 2007-05-25 |
| 1154548881 | Leta Teresa Callahan | Family Medicine | 230 Rowe Road, Wheeler, OR 97147 | 2007-04-20 |
| 1255462180 | Wheeler Pharmacy Inc | Pharmacy | 625 Nehalem Blvd, Wheeler, OR 97147 | 2007-03-09 |
| 1306929260 | John D Prata | Physician Assistant | 230 Rowe Street, The Rinehart Clinic, Wheeler, OR 97147 | 2006-10-23 |
| 1154345726 | Terra F Marzano | Counselor | 230 Rowe St., Wheeler, OR 97147 | 2006-07-27 |
| 1841266186 | Robert Soans | Physician Assistant | 230 Rowe St, 112 Penn St, Wheeler, OR 97147 | 2006-02-27 |
| 1972579720 | Harry H. Rinehart | Family Medicine | 230 Rowe, Wheeler, OR 97147 | 2006-02-23 |
| 1528054814 | Care Center (nehalem) Inc. | Skilled Nursing Facility | 280 Rowe St, Wheeler, OR 97147 | 2005-09-22 |
| Find all providers in zip 97147 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234674 | Sme Hawaii PC Inc | General Practice | 6021 Se Heike St, Hillsboro, OR 97123-8296 | 2020-10-27 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1336697143 | Rita Lawler | General Practice | 8353 Se Clatsop Ct, Portland, OR 97266-6159 | 2016-09-21 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1659730760 | Propel Network, LLC | General Practice | 14525 Sw Millikan Way, Beaverton, OR 97005-2343 | 2016-02-17 |
| 1235526849 | Hollis Lule Augee | General Practice | 5151 S.w. 88th Ave., Portland, OR 97225-1717 | 2015-04-21 |
| 1023428034 | Victoria L. Larson | General Practice | 10,000 Se 222nd Ave., Damascus, OR 97089-6517 | 2014-04-29 |
| 1093134496 | Red Leaf Natural Health Clinic | General Practice | 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 | 2014-04-14 |
| 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.