Michael William Luoma, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301081305 Issued in MI

Practice address

271 Ft Richardson Avenue
Goodfellow Afb, TX 76908-2134

Phone

(325) 654-3141

Fax

(906) 337-6582

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1669432613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17TH MEDICAL GROUP",
            "address_2": "271 FT RICHARDSON AVENUE",
            "city": "GOODFELLOW AFB",
            "state": "TX",
            "postal_code": "76908",
            "telephone_number": "325-654-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FT RICHARDSON AVENUE",
            "city": "GOODFELLOW AFB",
            "state": "TX",
            "postal_code": "769082134",
            "telephone_number": "325-654-3141",
            "fax_number": "906-337-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUOMA",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-08-08",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081305",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301096299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Craig Hiatt, O.D.
• Jennifer Nicole Johnson, PT
• Brittany Labedelle, LAT, ATC
• Logan Garrett Ledesma, DDS
• Blake R Lewis, DDS
• Denise Robin Lyons, D.D.S
• Michael Marton-Rollins, OD
• Emily Mayfield, PH.D.
• Joseph Thomas Merfeld, MD
• Devin Merritt, PHD

• Family Medicine Physician in Goodfellow Afb, TX
• Providers in Goodfellow Afb, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.