Luecha Rutngamlug, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036051046 Issued in IL

Practice address

1275 Hawthorn Rd
Salem, IL 62881-1028

Phone

(618) 548-4545

Fax

(618) 548-4577

NPI assigned

Oct 5, 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

Doctor of Medicine

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.

• Trego County Lemke Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Wakeeney, KS
  • NPI 1275614059
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1174619555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 HAWTHORN RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811028",
            "telephone_number": "618-548-4545",
            "fax_number": "618-548-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 HAWTHORN RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811028",
            "telephone_number": "618-548-4545",
            "fax_number": "618-548-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTNGAMLUG",
        "first_name": "LUECHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036051046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revival Health and Wellness Clinic
• Jaime Renee Richardson, CPM
• Julia Roberts, FNP-C
• Elizabeth Marie Roedl, PHARMD
• Crea Rose
• Salem Chiropractic LLC
• Salem Comm HS Dist 600
• Salem Counseling Center, P.C.
• Salem Eye Clinic LLC
• Salem Family Practice, SC

• General Practice Physician in Salem, IL
• Providers in Salem, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.