NPIMap

Organization Active NPI

Lumincare Physician Group, PA

  • Family Medicine Physician
  • Farmers Branch, TX
National Provider Identifier
1811499387
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LUMINCARE PHYSICIAN GROUP, PA
Practice address
2914 Valley View Lane
Farmers Branch, TX 75234
Phone
(972) 755-3353
Fax
(972) 247-2317
NPI assigned
Mar 1, 2018
Last updated
Mar 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Douglas S WonNPI 1194765552
Title
MD
Phone
(972) 255-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2914 Valley View Lane
Farmers Branch, TX 75234

Mailing address

4090 Mapleshade Lane Suite 220
Plano, TX 75093-0025
Phone (469) 680-4293

National Provider Directory

National Provider Directory
Tax ID family
Lumincare Physician Group PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1811499387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LANE SUITE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "469-680-4293",
            "fax_number": "214-313-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 VALLEY VIEW LANE",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-755-3353",
            "fax_number": "972-247-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINCARE PHYSICIAN GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "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"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.