56TH Medgrp-Luke

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

56TH MEDGRP-LUKE

Practice address

7219 N Litchfield Rd
Luke Afb, AZ 85309

Phone

(623) 856-4057

NPI assigned

Dec 14, 2005

Organization subpart

Yes

Parent organization

56TH MEDGRP-LUKEAs reported in NPPES

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

Authorized official

Name

Jen Lewandowski

Title

Air Force Ubo Analyst

Phone

(703) 817-4030

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Luke AFB MTF Other name

Tax ID family

56TH Medgrp-Luke2 organizations share this tax ID, including this one

Part of

56TH Medgrp-Luke

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 56TH Medgrp-Luke

  • Military/U.S. Coast Guard Pharmacy
  • Luke Afb, AZ
  • NPI 1043627631
  NPD tax ID

Locations

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1194700971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "85309",
            "telephone_number": "623-856-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "85309",
            "telephone_number": "623-856-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "56TH MEDGRP-LUKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "56TH MEDGRP-LUKE",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "AIR FORCE UBO ANALYST",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0323953",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luke AFB MTF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 56TH Medgrp-Luke
• Hyman Abramchick
• Todd J Alan, MD
• Jeffrey Lee Andrus, DDS
• Funmilayo Aduni Aranmolate, OD
• Joanne Balintona, MD

• Military/U.S. Coast Guard Outpatient Clinic/Center in Luke Afb, AZ
• Providers in Luke Afb, AZ by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.