DR. CARL LUEM (NPI# 1619047008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619047008 |
| Entity Type | Individual |
| Full Name | DR. CARL LUEM |
| Credential | M.D. |
| Practice Address |
2365 Reynolds Ave North Las Vegas NV 89030-7276 |
| Mailing Address |
9260 W Sunset Rd Ste. 200 Las Vegas NV 89148-4858 |
| Practice Telephone | 7029163537 |
| Practice Fax Number | 7024447690 |
| Mailing Telephone | 7022553547 |
| Mailing Fax Number | 7029212419 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | C35009 | CA | Other Service Providers |
| N | 207Q00000X | Family Medicine | 14226 | NV | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
14226 | NV | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
14226 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BNDD | 1389300984 | 01 |
| CA | DEA | AL6444955 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 49611011 | 01 |
| MO | DEA | AL6444955 | 01 |
| MO | 1619047008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477707404 | Carl Dominick Luem | Pathology | 2900 12th Ave N Ste 295w, Billings, MT 59101 | 2008-11-04 |
| Street Address |
2365 REYNOLDS AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-7276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033201082 | Joselo Atienza Vicuna | General Practice | 2365 Reynolds Ave, 211, North Las Vegas, NV 89030-7276 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821629635 | Ob-stats Inc | Obstetrics & Gynecology | 4132 S Rainbow Blvd Unit 112, Las Vegas, NV 89103-3106 | 2020-01-30 |
| 1083985212 | Patrick Michael Flanagan | Obstetrics & Gynecology | 2201 Plaza Del Robles, Las Vegas, NV 89102-4034 | 2012-01-19 |
| 1093047920 | Warner Support Center Corp | Obstetrics & Gynecology | 8875 W Flamingo Rd, Las Vegas, NV 89147-8730 | 2010-02-03 |
| 1306020565 | Charu Dhingra Gupta | Obstetrics & Gynecology | 66 Hawk Ridge Dr, Las Vegas, NV 89135-7864 | 2007-12-24 |
| 1831390756 | Northern Nevada Women's Group | Obstetrics & Gynecology | 1500 E 2nd St Ste 408, Reno, NV 89502-1197 | 2007-05-29 |
| 1780807271 | Joseph Randall Edwards | Obstetrics & Gynecology | 630 Trade Center Dr, Las Vegas, NV 89119-3712 | 2007-04-11 |
| 1851449383 | Hilton Robert Pollock | Obstetrics & Gynecology | 3645 Warren Way, Reno, NV 89509-5241 | 2007-01-08 |
| 1063560506 | Karen Ann Raven | Obstetrics & Gynecology | 6512 S Mccarran Blvd Ste D, Reno, NV 89509-6141 | 2007-01-08 |
| 1225197312 | Damon Lemar Stutes | Obstetrics & Gynecology | 5915 Tyrone Rd, Reno, NV 89502-6262 | 2006-12-06 |
| 1508945445 | Frank P Silver Md | Obstetrics & Gynecology | 341 N Buffalo Dr Ste B, Las Vegas, NV 89145-0376 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on DR. CARL LUEM.
| 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.