Active NPI
Value Based Inpatient Specialist
- Hospitalist Physician
- Lake Mary, FL
National Provider Identifier
1790260388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- VALUE BASED INPATIENT SPECIALIST
- Practice address
- 525 Technology Park Ste 109
Lake Mary, FL 32746-7107 - Phone
- (407) 647-2346
- NPI assigned
- Sep 28, 2018
- Last updated
- Sep 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Luetkemeyer
- Title
- Owner/President
- Phone
- (407) 647-2346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Mailing address
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538092800000",
"number": "1790260388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-647-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-647-2346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUE BASED INPATIENT SPECIALIST",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A",
"authorized_official_last_name": "LUETKEMEYER",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "407-647-2346"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.