Glenn I Lura, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME85071 Issued in FL

Practice address

11103 Trinity Blvd
Trinity, FL 34655-4538

Phone

(727) 312-3355

Fax

(727) 312-3356

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Tarpon Springs Hospital Foundation Inc

  • Internal Medicine Physician
  • Tarpon Springs, FL
  • NPI 1760786727

  Family Medicine

  Medicare reassignment NPD
• Adventhealth Primary Care Network Inc

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1093493637
  NPD
• Tarpon Springs Hospital Foundation Inc

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  NPD

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1790747897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 TRINITY BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554538",
            "telephone_number": "727-312-3355",
            "fax_number": "727-312-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 TRINITY BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554538",
            "telephone_number": "727-312-3355",
            "fax_number": "727-312-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURA",
        "first_name": "GLENN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakita Louis, APRN
• Jeremiah James Lovestrand
• Krista Loving, RN
• Aaron Ramon Lozano, M.D.
• Paula A Lundgren, MD
• David Nicholas Luther, DMD
• James Lynch
• M&S Pharmacy LLC
• Madeline Chateau
• Giselle Madera-Rodriguez

• Family Medicine Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.