Organization Active NPI

Edward C Luan MD SC

  • Obstetrics & Gynecology Physician
  • Peoria, IL
National Provider Identifier
1023298916
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
EDWARD C LUAN MD SC
Practice address
7620 N University St Ste 108
Peoria, IL 61614-8300
Phone
(309) 692-5600
Fax
(309) 692-5601
NPI assigned
Nov 7, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gail A Orwig
Title
Patient Account Manager
Phone
(309) 692-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7620 N University St Ste 108
Peoria, IL 61614-8300

Mailing address

7620 N University St Ste 108
Peoria, IL 61614-8300
Phone (309) 692-5600

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1016544Edward C Luan MD SC7620 N University-Suite 2, Peoria, IL 61614Provider-performed microscopySep 1, 2027

National Provider Directory

National Provider Directory

Locations

7620 N University St
Ste 108
Peoria, IL 61614
Phone (309) 692-5600

7620 N University St
Ste 2
Peoria, IL 61614
Phone (309) 692-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1023298916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 N UNIVERSITY ST STE 108",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148300",
            "telephone_number": "309-692-5600",
            "fax_number": "309-692-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 N UNIVERSITY ST STE 108",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148300",
            "telephone_number": "309-692-5600",
            "fax_number": "309-692-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C LUAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ORWIG",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "309-692-5600"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.