DR. GLEN ADRIAN LUTCHMAN (NPI# 1326208638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326208638 |
| Entity Type | Individual |
| Full Name | DR. GLEN ADRIAN LUTCHMAN |
| Credential | MD, MHSC |
| Practice Address |
1124 Columbia St Ste 600 Seattle WA 98104 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2063863660 |
| Practice Fax Number | 2063863644 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD60967156 | WA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD60967156 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
MD60967156 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1326208638 | 05 |
| Street Address |
1124 COLUMBIA ST STE 600 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259229 | Nelson B Goes | Internal Medicine | 1124 Columbia St Ste 600, Swedish Organ Transplant, Seattle, WA 98104-2046 | 2005-10-17 |
| 1588265680 | Rosanna Yan Ying Cen | Social Worker | 1124 Columbia St Ste 600, Seattle, WA 98104-2046 | 2020-11-04 |
| 1215561634 | Lauren Haehnel | Registered Nurse | 1124 Columbia St Ste 600, Seattle, WA 98104-2046 | 2020-02-25 |
| 1114486651 | Jenny Lan Chu | Nutritionist | 1124 Columbia St Ste 600, Seattle, WA 98104-2046 | 2019-03-14 |
| 1225522626 | Lauren Elizabeth Kenney-crowell | Registered Nurse | 1124 Columbia St Ste 600, Seattle, WA 98104-2046 | 2018-06-19 |
| 1275026783 | Anna G Hampton | Pharmacist | 1124 Columbia St Ste 600, Seattle, WA 98104 | 2018-06-08 |
| 1306225396 | Eric Matthew Gochanour | Internal Medicine | 1124 Columbia St Ste 600, Seattle, WA 98104 | 2015-05-22 |
| 1346660420 | Vignan Manne | Internal Medicine | 1124 Columbia St Ste 600, Seattle, WA 98104-2046 | 2014-04-16 |
| 1306285739 | Manan A Jhaveri | Internal Medicine | 1124 Columbia St Ste 600, Seattle, WA 98104-2046 | 2013-06-19 |
| 1487857579 | Vijay Vidyasagar | Internal Medicine | 1124 Columbia St Ste 600, Seattle, WA 98104-2046 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 207RT0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Transplant Hepatology |
| An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255447165 | Oren K Fix | Internal Medicine | 1101 Madison Street, Suite 850, Seattle, WA 98104 | 2006-08-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.