DR. MICHAEL S LUTTRELL (NPI# 1851531800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851531800 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S LUTTRELL |
| Credential | NP, PHD |
| Practice Address |
101 Professional Park Ste A Oxford NC 27565-2580 |
| Mailing Address |
208 Silver Pine Ct Durham NC 27713-9266 |
| Practice Telephone | 9196933972 |
| Mailing Telephone | 9195936086 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
122695 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201861 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE RAILROAD | 500002725 | 01 |
| WI | 43845100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881068781 | Michael Luttrell | Nurse Practitioner | 680 Ala Moana Blvd Apt 413, Honolulu, HI 96813-5411 | 2015-11-16 |
| 1396719209 | Michael J Luttrell | Psychologist | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2006-02-15 |
| Street Address |
101 PROFESSIONAL PARK STE A |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831169291 | Eric Martin Buenviaje | Family Medicine | 101 Professional Park Ste A, Oxford, NC 27565-2580 | 2006-01-26 |
| 1932414703 | Cecilia Wing Yan Wan | Nurse Practitioner | 101 Professional Park Ste A, Oxford, NC 27565-2580 | 2010-08-17 |
| 1124057484 | Duke University Affiliated Physicians, Inc. | Family Medicine | 101 Professional Park Ste A, Oxford, NC 27565-2580 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632716 | Oxford Specialty Clinic | Nurse Practitioner | 1205 Office Park Dr, Oxford, MS 38655-3545 | 2020-09-01 |
| 1659994044 | Christopher Killis Scruggs | Nurse Practitioner | 132 Yocona Ridge Rd, Oxford, MS 38655-6904 | 2020-05-20 |
| 1164062105 | Sarah Marie Fitzpatrick | Nurse Practitioner | 1070 Brookside Ct, Oxford, MI 48371-6055 | 2020-01-07 |
| 1710522198 | Laura Nicole Kelleway | Nurse Practitioner | 23 County Road 205, Oxford, MS 38655-9794 | 2019-11-09 |
| 1780225441 | Lija Turaida Moncrieff-austin | Nurse Practitioner | 500 E Peninsula Ct, Oxford, MI 48371-3669 | 2019-10-03 |
| 1861044026 | Mirian Thiruchendru | Nurse Practitioner | 72 S Washington St Ste 102, Oxford, MI 48371-6421 | 2019-07-09 |
| 1649752312 | Aubrey Michelle Mcintosh | Nurse Practitioner | 904 Crestmoor Dr, Oxford, MI 48371-4870 | 2018-08-30 |
| 1760969208 | Tina Gail Bryan | Nurse Practitioner | 7 County Road 469, Oxford, MS 38655-8279 | 2018-07-27 |
| 1699277509 | Lindsey Wall Hemphill | Nurse Practitioner | 45 County Road 277, Oxford, MS 38655-8739 | 2018-03-06 |
| 1023527017 | Katherine Waters | Nurse Practitioner | 2301 S Lamar Blvd # 140, Oxford, MS 38655-5373 | 2017-09-22 |
| Find all providers in OXFORD | ||||
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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.