Organization Active NPI

John L. Luetkemeyer, M.D.

  • Rheumatology Physician
  • Pensacola, FL
National Provider Identifier
1609273515
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME 55746 Issued in FL
Legal business name
JOHN L. LUETKEMEYER, M.D.
Practice address
9400 University Pkwy
Suite 401
Pensacola, FL 32514-5485
Phone
(850) 433-6580
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Marje Luetkemeyer, RN, BSN
Title
Manager
Phone
(850) 433-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X ME 55746 FL Primary

Addresses

Primary practice location

9400 University Pkwy
Suite 401
Pensacola, FL 32514-5485

Mailing address

9400 University Pkwy
Suite 401
Pensacola, FL 32514-5485
Phone (850) 433-6580

National Provider Directory

National Provider Directory

Locations

9400 University Pkwy
Ste 401
Pensacola, FL 32514
Phone (850) 433-6580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1609273515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "SUITE 401",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145485",
            "telephone_number": "850-433-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "SUITE 401",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145485",
            "telephone_number": "850-433-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. LUETKEMEYER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "LUETKEMEYER",
        "authorized_official_first_name": "MARJE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-433-6580",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 55746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.