Michael A Lutes, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA0015631L Issued in PA

Practice address

3120 Highland Rd
Hermitage, PA 16148-4512

Phone

(724) 342-2663

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westfield Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Westfield, NY
  • NPI 1942236427
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1073570644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 HIGHLAND RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484512",
            "telephone_number": "724-342-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 HIGHLAND RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484512",
            "telephone_number": "724-342-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTES",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA0015631L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC PROVIDER NUMBER",
            "identifier": "28474750800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lee Lonsinger, LPTA
• John Love, RPH
• Adam Keith Lucich, D.O.
• Janet Elaine Lunich, LPN
• Keith A. Lustig, M.D.
• Lymphedema Place, LLC
• Lynn a. Colaiacovo, M.D., P.C.
• Mollie Lewis Lyon
• Phyllis Mammarelli
• Kristen Manuel

• Surgical Physician Assistant in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.