NPIMap

Organization Active NPI

Lumin Health Physician Group PA

  • Pain Medicine Physician
  • Plano, TX
National Provider Identifier
1790283778
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
LUMIN HEALTH PHYSICIAN GROUP PA
Practice address
4090 Mapleshade LN Ste 100
Plano, TX 75093-0025
Phone
(469) 680-4295
Fax
(972) 265-3001
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Dr. Douglas S Won, MD
Title
MD
Phone
(972) 255-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

4090 Mapleshade LN Ste 100
Plano, TX 75093-0025

Mailing address

4090 Mapleshade LN Ste 100
Plano, TX 75093-0025
Phone (469) 680-4295

Other names 1

  • SpineCARE Institute, PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lumin Health Physician Group PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1790283778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "469-680-4295",
            "fax_number": "972-265-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "469-680-4295",
            "fax_number": "972-265-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIN HEALTH PHYSICIAN GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "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",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineCARE Institute, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.