Organization Active NPI

Ignacio H Luna MD Inc

  • Urology Physician
  • Glen Dale, WV
National Provider Identifier
1992012728
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10356 Issued in WV
Legal business name
IGNACIO H LUNA MD INC
Practice address
426 Eighth St.
Suite 300
Glen Dale, WV 26038
Phone
(304) 845-6400
Fax
(304) 845-3852
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Ignacio Hoelzl Luna Jr., M.D.
Title
President
Phone
(304) 845-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 35.100261 OH
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 10356 WV Primary

Addresses

Primary practice location

426 Eighth St.
Suite 300
Glen Dale, WV 26038

Mailing address

426 Eighth St.
Suite 300
Glen Dale, WV 26038
Phone (304) 845-6400

Other identifiers 2

IdentifierTypeStateIssuer
0210917MedicaidOH
0130878000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1992012728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 EIGHTH ST.",
            "address_2": "SUITE 300",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "26038",
            "telephone_number": "304-845-6400",
            "fax_number": "304-845-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EIGHTH ST.",
            "address_2": "SUITE 300",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "26038",
            "telephone_number": "304-845-6400",
            "fax_number": "304-845-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNACIO H LUNA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_middle_name": "HOELZL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-845-6400",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35.100261",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "WV",
            "license": "10356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210917",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130878000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.