Active NPI
David Michael Luoma, M.D., M.M.M.
- Family Medicine Physician
- Marquette, MI
National Provider Identifier
1245221076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301042739
- Practice address
- 1401 Presque Isle Avenue
Northern Michigan University Vielmetti Health Center
Marquette, MI 49855 - Phone
- (906) 227-2355
- Fax
- (906) 227-2332
- NPI assigned
- Nov 1, 2005
- Last updated
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301042739 | MI | Primary |
Addresses
Primary practice location
1401 Presque Isle Avenue
Northern Michigan University Vielmetti Health Center
Marquette, MI 49855
Mailing address
1401 Presque Isle Avenue
Northern Michigan University Vielmetti Health Center
Marquette, MI 49855
Phone (906) 227-2355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080036033 | Other | MI | RAILROAD MEDICARE |
| 1585770 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1245221076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 PRESQUE ISLE AVENUE",
"address_2": "NORTHERN MICHIGAN UNIVERSITY VIELMETTI HEALTH CENTER",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-227-2355",
"fax_number": "906-227-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 PRESQUE ISLE AVENUE",
"address_2": "NORTHERN MICHIGAN UNIVERSITY VIELMETTI HEALTH CENTER",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-227-2355",
"fax_number": "906-227-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUOMA",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "M.D., M.M.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-01",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301042739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080036033",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1585770",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.