Emily Kay Luttenbacher, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601004554 Issued in MI

Practice address

1050 Corporate Office Dr
Suite 100
Milford, MI 48381-5009

Phone

(248) 684-6155

Fax

(855) 288-0268

NPI assigned

Nov 4, 2005

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1831180090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CORPORATE OFFICE DR",
            "address_2": "SUITE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815009",
            "telephone_number": "248-684-6155",
            "fax_number": "855-288-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CORPORATE OFFICE DR",
            "address_2": "SUITE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815009",
            "telephone_number": "248-684-6155",
            "fax_number": "855-288-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTENBACHER",
        "first_name": "EMILY",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Lieder, OTRL
• Paul Limkemann, RPH
• Alicia Long, NHT
• Louis Chiara MD PC
• Shayla R Lucas
• Alyssa Lysko, MA
• Madden Mulder & Andrews DDS PC
• Thomas Lynn Madden, DDS
• Sueanne M Magyar-Hill, M.S.,PSY.D.
• Darcey L. Maher, PH.D.

• Medical Physician Assistant in Milford, MI
• Providers in Milford, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.