Larry W Lutz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01027538A Issued in IN

Practice address

802 E Oak St
Fort Branch, IN 47648-1666

Phone

(812) 753-3942

Fax

(812) 768-6283

NPI assigned

Jun 8, 2005

Last updated

Jan 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Family Medicine

  NPD
• Deaconess Clinic Inc

  dba Deaconess Clinic I

  • Pediatrics Physician
  • Newburgh, IN
  • NPI 1568618841
  NPD
• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585
  NPD

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1386648343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-753-3942",
            "fax_number": "812-768-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E OAK ST",
            "city": "FORT BRANCH",
            "state": "IN",
            "postal_code": "476481666",
            "telephone_number": "812-753-3942",
            "fax_number": "812-768-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "LARRY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027538A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100356750",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000000109173",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott D. Ingler, O.D.
• Christopher Tom Kirkwood, DDS
• Jared J Kocher, MD
• Heath Christian Kohlmeier, FNP-C
• Carolyn Faye Lamar, ANP
• Kimberly Arrena Lynn, M.S. CCC-SLP
• Victoria Lynn Moore, MSW
• Murphy Chiropractic Services Inc
• Tina Marie Murphy, DC
• Wayne Patrick Murphy, DC

• Family Medicine Physician in Fort Branch, IN
• Providers in Fort Branch, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.