LUMINCARE PHYSICIAN GROUP, PA (NPI# 1770960973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770960973 |
| Entity Type | Organization |
| Organization Name | LUMINCARE PHYSICIAN GROUP, PA |
| Practice Address |
11350 Us Hwy 380 Suite 100 Crossroads TX 76227-6497 |
| Mailing Address |
4090 Mapleshade Lane Suite 220 Plano TX 75093-0025 |
| Practice Telephone | 2142962945 |
| Practice Fax Number | 9403659656 |
| Mailing Telephone | 4696804293 |
| Mailing Fax Number | 2143139272 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | DOUGLAS S WON (MD) |
| Authorized Official Telephone | 9722555588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811499387 | Lumincare Physician Group, Pa | Family Medicine | 2914 Valley View Lane, Farmers Branch, TX 75234 | 2018-03-01 |
| 1710489299 | Lumincare Physician Group, Pa | Family Medicine | 601 West Fm 544 Suite 111, Murphy, TX 75094 | 2018-03-01 |
| 1356843825 | Lumincare Physician Group, Pa | Family Medicine | 210 N Custer Road Suite 100, Mckinney, TX 75071 | 2018-03-01 |
| 1265934749 | Lumincare Physician Group, Pa | Family Medicine | 1000 North Preston Road Suite 60, Prosper, TX 75078 | 2018-03-01 |
| 1801398375 | Lumincare Physician Group, Pa | Family Medicine | 2628 Long Prairie Road Suite 107, Flower Mound, TX 75022 | 2018-03-01 |
| Street Address |
11350 US HWY 380 SUITE 100 |
| City | CROSSROADS |
| State | TX |
| Zip Code | 76227-6497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844406 | Jason Jenkins | Massage Therapist | 1213 Golden Eagle Ct., Aubrey, TX 76227 | 2020-09-04 |
| 1124667209 | Cornerstone Chiropractic II LLC | Chiropractor | 27077 East University Drive, Bldg 2, Ste 200, Aubrey, TX 76227 | 2020-01-06 |
| 1467000562 | Ftfslp LLC | Speech-Language Pathologist | 4800 Us Highway 377 S. Building 400, Aubrey, TX 76227 | 2019-09-01 |
| 1457912214 | Vista Rehab Partners, Lp | Physical Therapist | 26744 East University Dr #500, Little Elm, TX 76227 | 2019-06-24 |
| 1306400411 | Dental Depot of Little Elm, Pllc | Dentist | 26747 E University Dr., Aubrey, TX 76227 | 2019-04-24 |
| 1427511781 | Excelcare LLC | Pharmacy | 5315 Hwy 377 Bld 2, Ste C, Krugerville, Tx 76227, TX 76227 | 2019-04-12 |
| 1538638630 | Jane Bingiyan Bongotan | Registered Nurse | 6004 Hailey Ct Providence Village, Providence Village, TX 76227 | 2018-11-19 |
| 1134600729 | Revivify Revenue Cycle Consulting LLC | Durable Medical Equipment & Medical Supplies | 26850 Us Highway 380e, Suite 4002, Aubrey, TX 76227 | 2018-08-22 |
| 1518467067 | Jennifer Renee Harris | Licensed Vocational Nurse | 805 Hartsfield St, Savannah, TX 76227 | 2018-02-20 |
| 1922527647 | Laura Christine Giesler | Specialist/Technologist | 221 W Blackjack Rd, Aubrey, TX 76227 | 2017-09-13 |
| Find all providers in zip 76227 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669580957 | Michael Scott Auvenshine | Family Medicine | 3201 Us Highway 380, Suite 101, Crossroads, TX 76227-2464 | 2006-08-27 |
| 1457573222 | Sarah Kent | Family Medicine | 3201 Us Highway 380, Suite 101, Crossroads, TX 76227-2464 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CROSSROADS |
| Zip Code | 76227 |
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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.