WAYNE H LUTZKE (NPI# 1366437261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366437261 |
| Entity Type | Individual |
| Full Name | WAYNE H LUTZKE |
| Practice Address |
4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 |
| Practice Telephone | 3307544431 |
| Practice Fax Number | 3302448839 |
| Mailing Telephone | 3307544431 |
| Mailing Fax Number | 3302448839 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 34.001474 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
4580 STEPHENS CIR NW STE 202 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636728 | Anna Margarita Lengyel | Internal Medicine | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2005-08-22 |
| 1902406119 | Ashley Marie Mcavinew | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-10-27 |
| 1831724640 | Stacey Wasem | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-03-12 |
| 1609407170 | Julie White | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-02-03 |
| 1609407881 | Jennifer Jonell Mcclain | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-01-28 |
| 1730727215 | Julie Angel | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2019-12-16 |
| 1972155307 | Justin Thomas Lonca | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2019-07-16 |
| 1083192330 | Erin Lynn Metcalf | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2018-07-30 |
| 1427551225 | Beth Ann Griffith | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2018-03-18 |
| 1265934061 | Elizabeth Trent | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089585 | Tanya Millicent Kyler | General Practice | 512 Shorb Ave Nw Apt 3, Canton, OH 44703-2580 | 2020-10-05 |
| 1578835690 | Michael David Cuomo | General Practice | 1026 Sugar Pike Way, Canton, GA 30115-5423 | 2012-02-05 |
| 1154619237 | Abraham Home Visiting Physicians, P.C. | General Practice | 48558 Woodson Way, Canton, MI 48187-6675 | 2011-07-11 |
| 1528210911 | Sandra R. Beichler, D.o., Inc. | General Practice | 6310 Middlebranch Ave Ne, Canton, OH 44721-3555 | 2008-10-16 |
| 1083812457 | Piyush J Shah | General Practice | 7283 Kingsbridge Court, Canton, MI 48187-2407 | 2007-07-06 |
| 1780893602 | William Truly | General Practice | East Peace St, Canton, MS 39046-1069 | 2007-05-21 |
| 1447307632 | Kellie Suzanne Johnson | General Practice | 2221 9th St Sw, Canton, OH 44706-1464 | 2007-01-03 |
| 1346269073 | Chin-shee Chong | General Practice | 442 Washington St, Canton, MA 02021-3630 | 2006-07-19 |
| 1396703260 | John Francis Mccarthy | General Practice | 2 Devonshire Dr, Canton, MA 02021-1570 | 2006-05-02 |
| 1053825448 | Apex Physical Medicine, Inc | General Practice | 4883 Dressler Rd Nw Ste 100, Canton, OH 44718-3665 | 2017-11-22 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on WAYNE H LUTZKE.
| 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.