Luma Healthcare, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LUMA HEALTHCARE, INC

Practice address

1919 W North Ave # 200
Milwaukee, WI 53205-1153

Phone

(414) 287-1000

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Maria De Elejalde

Title

Executive Vice President

Phone

(414) 228-0100

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Mexton M Deacon, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Milwaukee, WI
  • NPI 1811185283
  NPD
• Pedro O Ranola, MD

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1629167887
  NPD (past)

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1972861623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W GOOD HOPE RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092735",
            "telephone_number": "414-228-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W NORTH AVE # 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051153",
            "telephone_number": "414-287-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMA HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "DE ELEJALDE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "414-228-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972861623",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pankaj Luitel, MD
• Marshall Lukacs, MD, PHD
• Kathleen Lukaszewicz, P.T., PH.D.
• Beth Luke, APNP, CRNA
• Mary M Lule, RN
• Nasa-Tate Nasser Luma, M.D.
• Karen A. Lumb, LCSW, MSW
• Katherine Grace Lumetta
• Kehnide Muata Lumumba, CSAS
• Agnes M Lun, MD

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.