A Lynn Luther MDPC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5173 Issued in AL

Legal business name

A LYNN LUTHER MDPC

Practice address

201 N Main St
Suite C
Boaz, AL 35957-1601

Phone

(256) 593-2840

NPI assigned

Dec 2, 2009

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abner Lynn Luther, MDNPI 1437135688

Title

President

Phone

(256) 593-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Abner Lynn Luther, MD

  • General Practice Physician
  • Boaz, AL
  • NPI 1437135688
  Authorized official Same address or phone

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1073841037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359570645",
            "telephone_number": "256-593-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "address_2": "SUITE C",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571601",
            "telephone_number": "256-593-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LYNN LUTHER MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "ABNER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-593-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "5173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003851",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Boaz, AL
• Providers in Boaz, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.