Active NPI
Edward A Luce, MD
- Plastic and Reconstructive Surgery Physician
- Memphis, TN
National Provider Identifier
1487611000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 38936
- Practice address
- 1068 Cresthaven Rd Ste 500
Memphis, TN 38119 - Phone
- (901) 866-8525
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 38936 | TN | Primary |
Addresses
Primary practice location
1068 Cresthaven Rd Ste 500
Memphis, TN 38119
Mailing address
1407 Union Ave Ste 700
Memphis, TN 38104-3641
Phone (901) 866-8622
Other practice location 1
1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Phone (901) 448-2300
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155023001 | Medicaid | AR | |
| 177416 | Medicaid | AL | |
| 003179304A | Medicaid | GA | |
| 08908201 | Medicaid | MS | |
| 1487611000 | Medicaid | MO | |
| 3339655 | Medicaid | TN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38936 | TN | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1487611000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 UNION AVE STE 700",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043641",
"telephone_number": "901-866-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 500",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-866-8525"
}
],
"practiceLocations": [
{
"address_1": "1910 Nonconnah Blvd",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381322113",
"country_code": "US",
"telephone_number": "901-448-2300",
"fax_number": "901-448-6657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCE",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TN",
"license": "38936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155023001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177416",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003179304A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08908201",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487611000",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3339655",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.