Louis C. Tegtmeyer, D.O. P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101010517 Issued in MI

Legal business name

LOUIS C. TEGTMEYER, D.O. P.C.

Practice address

35600 Central City Pkwy
Suite 101
Westland, MI 48185

Phone

(734) 762-9111

Fax

(734) 762-9113

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Louis C Tegtmeyer, D.O.

Title

President

Phone

(734) 762-9111

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1144427907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35600 CENTRAL CITY PKWY",
            "address_2": "SUITE 101",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852046",
            "telephone_number": "734-762-9111",
            "fax_number": "734-762-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35600 CENTRAL CITY PKWY",
            "address_2": "SUITE 101",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185",
            "telephone_number": "734-762-9111",
            "fax_number": "734-762-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS C. TEGTMEYER, D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "TEGTMEYER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-762-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101010517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113331910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0258209255",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lividini
• Modini Chintha Liyanage, M.D.
• Alexandra Ljubic, LMSW
• Bernard S Lofman, D.O.
• Judith G Lolas, LMSW ACSW
• Jaavaid Love
• Xavier Love, RN
• Bruce M Lowell, D.D.S.
• Kassandra L Luoma
• Darrell William Lupu, PHARMACIST

• Surgery Physician in Westland, MI
• Providers in Westland, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.