THOMAS J LUETZOW (NPI# 1598777419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598777419 |
| Entity Type | Individual |
| Full Name | THOMAS J LUETZOW |
| Credential | M.D. |
| Practice Address |
145 N Main St Fond Du Lac WI 54935-3423 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209268492 |
| Mailing Telephone | 9209268340 |
| Mailing Fax Number | 9209268370 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21500 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30483700 | 05 |
| Street Address |
145 N MAIN ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856598 | Scott A Calvert | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2020-09-22 |
| 1902451388 | Rita Sharma | Student in an Organized Health Care Education/Training Program | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2019-08-02 |
| 1770089526 | Steven Rembalski | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2018-04-02 |
| 1942759303 | Joseph Richard Dvorak | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2016-09-27 |
| 1063884450 | Alexander Engel | Physician Assistant | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2015-10-23 |
| 1740614197 | Shaun Stephens | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2013-08-21 |
| 1497096754 | Morgan Leigh Bernard | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2013-03-12 |
| 1720339997 | Monica J Braun | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2012-09-27 |
| 1568602530 | Kathleen A Grochowski | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2009-03-03 |
| 1972780096 | David Allen Krueger | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538196704 | James John Wallace | Family Medicine | 145 N. Main St, Fond Du Lac, WI 54935-3423 | 2006-06-26 |
| 1164415634 | Marcie Ann Janz | Family Medicine | 481 E Division St, Suite 100, Fond Du Lac, WI 54935-3748 | 2005-08-30 |
| 1720499957 | Margaret L Ward | Family Medicine | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2014-05-09 |
| 1700225117 | Taha Y El-shahat | Family Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2013-06-19 |
| 1881883635 | Lisa R Weber | Family Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2007-10-17 |
| 1073704375 | Ruth Adetoun Adene-peter | Family Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2007-08-05 |
| 1316146962 | Jennifer H Bissell | Family Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2007-07-13 |
| 1013098821 | Eric A Smiltneek | Family Medicine | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2006-10-18 |
| 1891896445 | Seth D Udlis | Family Medicine | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-26 |
| 1083711071 | Heather Pearson Schmidt | Family Medicine | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-20 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on THOMAS J LUETZOW.
| 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.