William C Ludt, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1527 Issued in AZ

Practice address

4892 N Stone Ave
Suite 100
Tucson, AZ 85704-5761

Phone

(520) 396-1360

Fax

(520) 795-9043

NPI assigned

Dec 20, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Genesis Natural Medicine Center, PLC

  • Naturopath
  • Tucson, AZ
  • NPI 1033474291
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1922084094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-396-1360",
            "fax_number": "520-795-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4892 N STONE AVE",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045761",
            "telephone_number": "520-396-1360",
            "fax_number": "520-795-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDT",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "1527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224957",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucid Awakening, LLC
• Kathryn Lucio, PA-C
• Richard W. Lucio III, MD
• Gloria Anne Luck
• Joanne Lucz
• Libia A Luevano, N.D.
• Yeira Luevano
• John David Luft, D.D.S.
• Maria M Lugo Martinez
• Arely Lugo

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.