Lurley John Archambeau, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35999 Issued in OH

Practice address

6450 Weatherfield CT
Suite 1B
Maumee, OH 43537-9146

Phone

(419) 866-2830

Fax

(419) 866-2831

NPI assigned

Dec 19, 2005

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Philio, Inc.

  dba New Concepts

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1124367545
  Medicare reassignment NPD
• Philio, Inc.

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1528124567
  NPD
• Douglas Borell Counseling Services LLC

  • Professional Counselor
  • Maumee, OH
  • NPI 1508587601
  NPD (past)
• Lurley J. Archambeau MD

  • Psychiatry Physician
  • Maumee, OH
  • NPI 1205077336
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1376529768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 WEATHERFIELD CT",
            "address_2": "SUITE 1B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379146",
            "telephone_number": "419-866-2830",
            "fax_number": "419-866-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 WEATHERFIELD CT",
            "address_2": "SUITE 1B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379146",
            "telephone_number": "419-866-2830",
            "fax_number": "419-866-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHAMBEAU",
        "first_name": "LURLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275330",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• App of Ohio Ed PLLC
• Kimberly Sue Applegate
• Apria Healthcare LLC (Young Medical)
• Apria Healthcare, Inc. (Toledo I.V. Care)
• Brittany Leigh Archambeau
• Brigid Archibeque, OT
• Rebekah Arcuri
• Deborah Angeline Ard
• Arete Behavioral Health
• Arete Behavioral Health

• Specialist in Maumee, OH
• Providers in Maumee, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.