1699960310 NPI number — DR. LUTHER E WARD M.D.

Table of content: DR. LUTHER E WARD M.D. (NPI 1699960310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699960310 NPI number — DR. LUTHER E WARD M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WARD
Provider First Name:
LUTHER
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699960310
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
94220 4TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOLD BEACH
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97444-7756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-247-3155
Provider Business Mailing Address Fax Number:
541-247-3151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
94244 FOURTH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOLD BEACH
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97444-7756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-247-3155
Provider Business Practice Location Address Fax Number:
541-247-3530
Provider Enumeration Date:
09/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  MD150957 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1487696985 . This is a "CURRY GENERAL HOSPITAL NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000ZGBDG . This is a "CURRY GENERAL HOSPITAL MEDICARE PART B" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: R0000ZGBDG . This is a "CURRY MEDICAL PRACTICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 93-0937095 . This is a "CURRY HEALTH DISTRICT TAX I.D." identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 381322 . This is a "CURRY GENERAL HOSPITAL MEDICARE PART A" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: R0000ZGBDF . This is a "CURRY MEDICAL CENTER MEDIARE PART B" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 1083656367 . This is a "CURRY MEDICAL CENTER NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346486818 . This is a "CURRY MEDICAL PRACTICE NPI" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 1487696985 . This is a "CURRY MEDICAL CENTER MEDIARE PART A" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1192363 . This is a "CURRY GENERAL HOSPITAL MEDICAID" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: R0000ZGBDG . This is a "CURRY MEDICAL CENTER MEDICARE PART A" identifier . This identifiers is of the category "OTHER".
  • Identifier: 500603345 . This is a "CURRY MEDICAL CENTER MEDICAID" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 500624254 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




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