Lutfi T Tombuloglu MD SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

17161-020 Issued in WI

Legal business name

LUTFI T TOMBULOGLU MD SC

Practice address

4325 S 60TH St
Greenfield, WI 53220-3508

Phone

(414) 545-5500

Fax

(414) 545-5335

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bedriye Tombuloglu, MDNPI 1811083009

Title

President

Phone

(414) 545-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bedriye Y Tombuloglu, MD

  • General Practice Physician
  • Greenfield, WI
  • NPI 1811083009
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1881743821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 S 60TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203508",
            "telephone_number": "414-545-5500",
            "fax_number": "414-545-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 S 60TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203508",
            "telephone_number": "414-545-5500",
            "fax_number": "414-545-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTFI T TOMBULOGLU MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "TOMBULOGLU",
        "authorized_official_first_name": "BEDRIYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-545-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "17161-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30966100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Lowenthal, M.D.
• Jennifer Lucarelli
• Lisa Marie Lundquist, RD
• Robert James Lunz, REGISTERED NURSE
• Emy Lutchka Boente, OD
• Logan Lutz
• Luxottica of America Inc.
• John K Luznicky, CSAC
• Melissa A Lynch, PAC
• Juan Jose Macias

• Clinic/Center in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.