Lumincare Physician Group, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LUMINCARE PHYSICIAN GROUP, PA

Practice address

11350 US Hwy 380 Suite 100
Crossroads, TX 76227-6497

Phone

(214) 296-2945

Fax

(940) 365-9656

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Douglas S Won

Title

MD

Phone

(972) 255-5588

Specialties & licenses 6

Addresses

Locations

Practitioners 4

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

• Rachael Anderson

  • Physician Assistant
  • Decatur, TX
  • NPI 1295121762
  NPD (past)
• Samir Sanmukh Desai, PA-C

  • Surgical Physician Assistant
  • Flower Mound, TX
  • NPI 1629006879
  NPD (past)
• Sandy L Stetz, P.A.-C., M.ED.

  • Physician Assistant
  • Trophy Club, TX
  • NPI 1831199140

  Medical

  NPD (past)
• Peter C. Rhee, PA-C

  • Surgical Physician Assistant
  • Renton, WA
  • NPI 1770715112
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1770960973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LANE SUITE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "469-680-4293",
            "fax_number": "214-313-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 US HWY 380 SUITE 100",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762276497",
            "telephone_number": "214-296-2945",
            "fax_number": "940-365-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINCARE PHYSICIAN GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-255-5588"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Jamison, WHNP-BC, FNP-C
• Sarah Kent, MD
• Nabeela Khan
• Lisa Hobon and Associates
• Lone Star Family Eye Care, PLLC
• Deborah Janette Marino, LCSW
• Heather Renee Matthews, RN
• Samuel M Mbaire
• Davis McAlister III, D.C.
• Hope McCarroll, OTD, MOT, OTR

• Family Medicine Physician in Crossroads, TX
• Providers in Crossroads, 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 Mar 1, 2018; 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.