Luma Podiatry & Wound Care, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LUMA PODIATRY & WOUND CARE, PLLC

Practice address

585 Lebanon St
Melrose, MA 02176-3225

Phone

(781) 979-3500

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Dorothy Helen Kurtz Phelan, DPMNPI 1851499768

Title

Owner

Phone

(603) 205-4501

Specialties & licenses 1

Addresses

Other names 1

• LUMA Aesthetics & Laser Center, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothy H Kurtz Phelan, D.P.M.

  • Podiatrist
  • Peabody, MA
  • NPI 1851499768
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1407681505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GROSVENOR PARK",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023122",
            "telephone_number": "603-205-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 LEBANON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763225",
            "telephone_number": "781-979-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMA PODIATRY & WOUND CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "KURTZ PHELAN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-205-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUMA Aesthetics & Laser Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Keith Linsey, MS PT
• Jennifer Lipman
• Wendy Lis, RN
• Carolyn Low
• Jeffrey Lucero, PMHNP-BC
• Veronica Ly
• Jingli Ma, M.D.
• Mohender S Maan, M.D.
• Suzanne Marie Maceachern, CCC-SLP
• Jenna Macqueston

• Clinic/Center in Melrose, MA
• Providers in Melrose, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.