Active NPI
Michael J. Lucherini MDPC
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1003969445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26249
- Legal business name
- MICHAEL J. LUCHERINI MDPC
- Practice address
- 6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761 - Phone
- (480) 981-8650
- Fax
- (480) 981-1563
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ellie Tweed
- Title
- Biller
- Phone
- (480) 792-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26249 | AZ | Primary |
Addresses
Primary practice location
6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Mailing address
6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Phone (480) 981-8650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364076 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1518922566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217548800000",
"number": "1003969445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6828 E BROWN RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852073761",
"telephone_number": "480-981-8650",
"fax_number": "480-981-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6828 E BROWN RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852073761",
"telephone_number": "480-981-8650",
"fax_number": "480-981-1563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J. LUCHERINI MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2008-08-01",
"status": "A",
"authorized_official_last_name": "TWEED",
"authorized_official_first_name": "ELLIE",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "480-792-1080"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "26249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364076",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.