Organization Active NPI

Lumin Health Specialists PA

  • Orthopaedic Surgery of the Spine Physician
  • Irving, TX
National Provider Identifier
1215297734
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
L9018 Issued in TX
Legal business name
LUMIN HEALTH SPECIALISTS PA
Practice address
4301 N Macarthur Blvd
Suite 101
Irving, TX 75038-6497
Phone
(972) 255-5588
Fax
(972) 255-6688
NPI assigned
May 17, 2012
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Douglas S Won, MDNPI 1194765552
Title
Owner
Phone
(972) 255-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X L9018 TX Primary

Addresses

Primary practice location

4301 N Macarthur Blvd
Suite 101
Irving, TX 75038-6497

Mailing address

4301 N Macarthur Blvd
Suite 101
Irving, TX 75038-6497
Phone (972) 255-5588

Other names 1

  • Institute for SpineCare PA Former legal business name

National Provider Directory

National Provider Directory

Locations

2914 Valley View Ln
Ste 210
Farmers Branch, TX 75234
Phone (972) 755-3353

3909 W Parker Rd
Ste 104
Plano, TX 75023
Phone (469) 609-3062

4090 Mapleshade Ln
Ste 101
Plano, TX 75093
Phone (469) 680-4295

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1215297734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-255-5588",
            "fax_number": "972-255-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-255-5588",
            "fax_number": "972-255-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIN HEALTH SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-255-5588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "L9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for SpineCare PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.