Luis Tumialan, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

R4674 Issued in MO

Practice address

9326 Olive Blvd
Olivette, MO 63132-3257

Phone

(314) 743-3748

Fax

(314) 743-3749

NPI assigned

Oct 2, 2008

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• WCP Laboratories, Inc

  • Clinical Medical Laboratory
  • Maryland Heights, MO
  • NPI 1598836678
  NPD (past)
• WCP Pathology, PC

  • Clinical Medical Laboratory
  • Maryland Heights, MO
  • NPI 1215008396

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1790936268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9326 OLIVE BLVD",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323257",
            "telephone_number": "314-743-3748",
            "fax_number": "314-743-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9326 OLIVE BLVD",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323257",
            "telephone_number": "314-743-3748",
            "fax_number": "314-743-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMIALAN",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "R4674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayree Stone, M.ED. PLPC
• Davielle Swinson-Spears
• Tammy Tellez, LPC
• Bryan Thorson, MSW, LCSW
• Victoria Trammell, RBT
• Micaela Tutt
• Robert Howard Tversky, ANP-C
• Unalome Institute
• Taylor L Wakeland, DPT
• Walgreen Co

• Anatomic Pathology & Clinical Pathology Physician in Olivette, MO
• Providers in Olivette, MO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.