Active NPI
Deborah A Luetzow, MD
- Adult Medicine Physician
- Oak Creek, WI
National Provider Identifier
1285688713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 29691
- Practice address
- 2413 W Rawson Ave
Oak Creek, WI 53154-1323 - Phone
- (414) 333-0064
- NPI assigned
- May 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 29691 | WI | Primary |
Addresses
Primary practice location
2413 W Rawson Ave
Oak Creek, WI 53154-1323
Mailing address
2413 W. Rawson Ave
Oak Creek, WI 53154
Phone (414) 333-0064
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391703395015 | Other | WI | BLUE CROSS BLUE SHIELD |
| 31555700 | Medicaid | WI |
Other names 1
- Deborah A Luetzow-Franson
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Deborah Luetzow-Franson M.D., S.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
-
- Family Medicine Physician
- Franklin, WI
- NPI 1245251347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1285688713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 W. RAWSON AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "53154",
"telephone_number": "414-333-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 W RAWSON AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531541323",
"telephone_number": "414-333-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUETZOW",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WI",
"license": "29691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "391703395015",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31555700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "LUETZOW-FRANSON",
"middle_name": "A",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.