Zachary H Lueders, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004537 Issued in CO

Practice address

4410 Arapahoe Ave Ste 135
Boulder, CO 80303-1155

Phone

(303) 443-0848

NPI assigned

Jul 8, 2013

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Steadman Clinic Professional LLC

  • Specialist
  • Vail, CO
  • NPI 1952327835
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1801237763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 ARAPAHOE AVE STE 135",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031155",
            "telephone_number": "303-443-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 ARAPAHOE AVE STE 135",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031155",
            "telephone_number": "303-443-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDERS",
        "first_name": "ZACHARY",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Luciano, PHD
• Heather Lucien, LCSW
• Jennifer Lucke, AUD
• Allegra Ludwig, M.A., CCC-SLP
• Samantha Luecke
• Joshua B Luitjohan, DC
• Tiana Lujan
• Elizabeth Erin Lukens, DDS, MS
• Evelyn Teresa Luker
• Heidi Lukinac, MA LPCC

• Physician Assistant in Boulder, CO
• Providers in Boulder, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.