Marion Lynn Luque, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M8345 Issued in ID

Practice address

1139 E. Winding Creek Drive
Eagle, ID 83616-6566

Phone

(208) 938-8887

Fax

(208) 938-8897

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Marion Luque,PLLC

  • Internal Medicine Physician
  • Eagle, ID
  • NPI 1275630733
  NPD Authorized official
• Keystone Center for Geriatrics LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Boise, ID
  • NPI 1376211268
  NPD
• West Valley Medical Group LLC

  • Internal Medicine Physician
  • Caldwell, ID
  • NPI 1871673798
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1124088331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W TWO RIVERS DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167121",
            "telephone_number": "208-599-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E. WINDING CREEK DRIVE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166566",
            "telephone_number": "208-938-8887",
            "fax_number": "208-938-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUQUE",
        "first_name": "MARION",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M8345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "M8345",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher J Lougheed, DPT
• Christa Janita Louw, B PHARM
• Heather Lowe, DPT
• Lamar Lowell
• Heather Lucas, FNP-C
• Rosalie Jane Lynch, LCPC, LMHC, CMHC
• Matthew R Macha, MD
• Rayven Macnab
• Kristin Adrianne Mahaffey, MFT-C
• Jennifer Mahlberg-Grant, APRN

• Internal Medicine Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.