MR. KYLE A LUTZ (NPI# 1568550804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568550804 |
| Entity Type | Individual |
| Full Name | MR. KYLE A LUTZ |
| Credential | PA |
| Practice Address |
520 Mary St Suite 520 Evansville IN 47710 |
| Mailing Address |
520 Mary St Ste 520 Evansville IN 47710-1682 |
| Practice Telephone | 8124248231 |
| Practice Fax Number | 8124358794 |
| Mailing Telephone | 8124248231 |
| Mailing Fax Number | 8124358794 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10000720A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300007791 | 05 | |
| KY | 9500485900 | 05 | |
| ANTHEM BCBS | 000000335308 | 01 |
| Street Address |
520 MARY ST SUITE 520 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334884 | Deena Marie Beck | Physician Assistant | 520 Mary St, Suite 340, Evansville, IN 47710-1677 | 2005-05-27 |
| 1891247748 | Mandy Marie Wright | Registered Nurse | 520 Mary St, Ste 520, Evansville, IN 47710 | 2016-10-26 |
| 1922483551 | Margaret Rose Elsner | Physician Assistant | 520 Mary St, Ste 520, Evansville, IN 47710 | 2015-07-24 |
| 1588045066 | Ethan Schnur | Occupational Therapist | 520 Mary St, Evansville, IN 47710-1677 | 2015-06-10 |
| 1538549894 | Ashley Alvey | Physical Therapist | 520 Mary St, Evansville, IN 47710-1677 | 2015-06-02 |
| 1881020238 | Shannon E Smith | Physician Assistant | 520 Mary St, 520, Evansville, IN 47710-1682 | 2013-09-17 |
| 1073881827 | Amber D Raibley | Nurse Practitioner | 520 Mary St, Suite 520, Evansville, IN 47710 | 2011-12-08 |
| 1528340593 | Kara Michelle Rumley | Nurse Practitioner | 520 Mary St, Suite 520, Evansville, IN 47710 | 2011-09-15 |
| 1861774366 | Kayla Nicole Hall | Nurse Practitioner | 520 Mary St, Suite 520, Evansville, IN 47710 | 2011-09-12 |
| 1386893881 | Paula Kay Key | Clinical Nurse Specialist | 520 Mary St, Suite 520, Evansville, IN 47710-1677 | 2008-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952803538 | Christy L. Herrmann | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-02-28 |
| 1649793522 | Kyle William Kraft | Physician Assistant | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2017-07-21 |
| 1881087989 | Christina Stevens | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2015-03-13 |
| 1609288703 | Erin Haaff | Physician Assistant | 515 Read St, Evansville, IN 47710-1739 | 2014-05-22 |
| 1881020238 | Shannon E Smith | Physician Assistant | 520 Mary St, 520, Evansville, IN 47710-1682 | 2013-09-17 |
| 1205061280 | Kathy R Marquis | Physician Assistant | 415 W Columbia St, Evansville, IN 47710-1656 | 2009-05-20 |
| 1215932330 | Linda Y Mitchell | Physician Assistant | 515 Read St, Evansville, IN 47710-1739 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on MR. KYLE A LUTZ.
| 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.