Active NPI
Collette Marie Luttmer, M.D.
- Internal Medicine Physician
- Grants Pass, OR
National Provider Identifier
1972519767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD21382
- Practice address
- 714 NW 5TH St
Grants Pass, OR 97526-1529 - Phone
- (541) 244-1511
- NPI assigned
- Jul 31, 2006
- Last updated
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD21382 | OR | Primary |
Addresses
Primary practice location
714 NW 5TH St
Grants Pass, OR 97526-1529
Mailing address
714 NW 5TH St
Grants Pass, OR 97526
Phone (541) 244-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Past | Accepting new patients | |
| Legacy Clinics LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Grants Pass, OR
- NPI 1992042121
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1972519767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 NW 5TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97526",
"telephone_number": "541-244-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 NW 5TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261529",
"telephone_number": "541-244-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTMER",
"first_name": "COLLETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD21382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
- Stephanie Z Lukaszewski
- Minette Cruz Lukban, MD
- Lung Clinic Center for Sleep Medicine
- Rebecca Lupescu
- Andrew Donald Luther, M.D.
- Lwafp PC Inc (Living Water Adult Family Practice)
- Brandi Ariel Lynch, LMT
- Mark Alan Lynch, FNP
- Lynda Spangler,MSW, LCSW, PC
- Lynn Ann Development, LLC (CountrySide Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.