MRS. AMBER D LUTZ (NPI# 1750387387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750387387 |
| Entity Type | Individual |
| Full Name | MRS. AMBER D LUTZ |
| Other Name | AMBER D FETCHER |
| Credential | PA-C |
| Practice Address |
1202 W Buena Vista Rd. Suite #100 Evansville IN 47710-5185 |
| Mailing Address |
1202 W Buena Vista Rd. Suite # 100 Evansville IN 47710-5185 |
| Practice Telephone | 8124291520 |
| Practice Fax Number | 8124291523 |
| Mailing Telephone | 8124291520 |
| Mailing Fax Number | 8124291523 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2014-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000657A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085002198 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE RAILROAD | 970010159 | 01 |
| Street Address |
1202 W BUENA VISTA RD. SUITE #100 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502457 | Lauren Juric | Physician Assistant | 125 Chestnut St Apt C, Evansville, IN 47713-1047 | 2020-03-11 |
| 1861961138 | Deaconess Clinic, Inc | Physician Assistant | 350 W Columbia St Ste 440, Evansville, IN 47710-1782 | 2018-11-16 |
| 1316312069 | Hilary Lorraine Eickhoff | Physician Assistant | 10248 Kristopher Ct., Evansville, IN 47712-5830 | 2015-12-07 |
| 1114969813 | Stephanie L Natyshok | Physician Assistant | 1212 Professional Blvd, Suite B, Evansville, IN 47714-8002 | 2006-06-10 |
| 1174573497 | Glenn J Kruser | Physician Assistant | 10 N Water St, Evansville, WI 53536-1152 | 2006-05-10 |
| 1255334884 | Deena Marie Beck | Physician Assistant | 520 Mary St, Suite 340, Evansville, IN 47710-1677 | 2005-05-27 |
| 1255942934 | Michael R. Zerby | Physician Assistant | 100 E Walnut St, Evansville, IN 47713-1960 | 2020-08-14 |
| 1285245167 | Meagan A Finch | Physician Assistant | 4506 1st Ave, Evansville, IN 47710-3624 | 2020-08-13 |
| 1609487065 | Marressa Ruth Henderson | Physician Assistant | 1101 Professional Blvd, Evansville, IN 47714-8016 | 2020-08-10 |
| 1639788326 | Jacob Jaco | Physician Assistant | 515 Read St, Evansville, IN 47710-1739 | 2020-07-28 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on MRS. AMBER D LUTZ.
| 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.