LUIS A TRUJILLO


Address: 515 Quarter St, Gladwin, MI 48624-1959
Phone: 9894269286

LUIS A TRUJILLO (NPI# 1821042094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821042094
Entity Type Individual
Full Name LUIS A TRUJILLO
Credential MD
Practice Address 515 Quarter St
Gladwin
MI 48624-1959
Mailing Address 2510 Abbott Rd
Midland
MI 48642-5006
Practice Telephone 9894269286
Enumeration Date 2006-05-20
Last Update Date 2010-04-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 4301071407 MI Allopathic & Osteopathic Physicians
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
071407 MI Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 071407 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE SHIELD 0106510712 01
MI BLUE CROSS BLUE SHIELD LT071407 01
MI BCBS 0F71000 01
MI 1821042094 05
MI 4769870 05

Other Providers LUIS TRUJILLO

NPI Name Taxonomy Address Enumeration
1396073078 Luis Bernardo Trujillo Clinic/Center 2614 Vinedale Ave, Valrico, FL 33596-7383 2009-11-18
1285640607 Luis Trujillo Nurse Practitioner 1459 Sycamore Dr, Simi Valley, CA 93065-4751 2006-07-31
1861960411 Luis Trujillo Physical Therapy Assistant 8301 E Prentice Ave Ste 207, Greenwood Village, CO 80111-2905 2018-11-12
1528565769 Luis Adrian Trujillo Behavior Technician 5550 W Flamingo Rd Ste C5, Las Vegas, NV 89103-0137 2018-04-12
1861752826 Luis Juan Trujillo Internal Medicine 2102 Treasure Hills Blvd, Room 2.136.03, Harlingen, TX 78550-8736 2012-05-24
1619109758 Luis C Trujillo Optometrist 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 2009-08-21

Office Location

Street Address 515 QUARTER ST
City GLADWIN
State MI
Zip Code 48624-1959

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861934689 Midmichigan Medical Center Gladwin Nurse Practitioner 515 Quarter St, Gladwin, MI 48624-1959 2016-11-10
1154774909 Midmichigan Medical Center - Gladwin Nurse Practitioner 515 Quarter St, Gladwin, MI 48624-1959 2016-07-18
1073999298 Midmichigan Medical Center - Gladwin Emergency Medicine 515 Quarter St, Gladwin, MI 48624-1959 2015-08-11
1982098505 Midmichigan Medical Center Gladwin Nurse Practitioner 515 Quarter St, Gladwin, MI 48624-1959 2015-03-20
1134542145 Kourtney Cingano Occupational Therapist 515 Quarter St, Gladwin, MI 48624-1959 2014-01-27
1205277910 Midmichigan Medical Center Gladwin Clinic/Center 515 Quarter St, Gladwin, MI 48624-1959 2013-07-10
1609182013 Midmichigan Medical Center Gladwin General Acute Care Hospital 515 Quarter St, Gladwin, MI 48624-1959 2010-08-23
1437390754 Michigan Emergency Physicians LLP Emergency Medicine 515 Quarter St, Gladwin, MI 48624-1959 2009-03-17
1265609705 Midmichigan Medical Center Gladwin General Acute Care Hospital 515 Quarter St, Gladwin, MI 48624-1959 2008-05-14
1881869774 Midmichigan Medical Center Gladwin Clinic/Center 515 Quarter St, Gladwin, MI 48624-1959 2008-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558889162 Jacob Cameron Shell Specialist/Technologist 4403 Betty Lee Blvd, Gladwin, MI 48624 2017-09-03
1750704268 Monica Maebel Weaver Licensed Practical Nurse 1426 North St. Street, Affordable Nursing Inc, Gladwin, MI 48624 2014-02-04
1417397407 Richard Allen White Registered Nurse 655 East Cedar Avenue, Gladwin, MI 48624 2013-07-05
1023453040 Amy Rebecca Brockschmidt Counselor Ten16 Recovery Network, 1302 Chatterton St. 2, Gladwin, MI 48624 2013-05-03
1447558341 Erika Dianis Psychologist 655 E. Cedar Ave., Gladwin, MI 48624 2011-03-02
1457519456 Bont & Medical Products Inc Durable Medical Equipment & Medical Supplies 895 N M18 Suite 2, Gladwin, MI 48624 2008-05-27
1346424454 Regional Dialysis Services Inc Clinic/Center 673 Quarter Street, Gladwin, MI 48624 2007-12-26
1548476070 Sambamurti . Srinivasan Family Medicine 602 Riverview Ct, Gladwin, MI 48624 2007-05-14
1295957850 Midmichigan Visiting Nurse Association Durable Medical Equipment & Medical Supplies 1234 W Cedar Ave, Gladwin, MI 48624 2007-05-03
1710063755 Janet Flynn Registered Nurse 1207 N Spring St, Gladwin, MI 48624 2006-10-31
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699703637 Joel D Humphrey Emergency Medicine 515 Quarter St, Gladwin, MI 48624-1959 2006-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770059529 Zachary Kenneth Brown Emergency Medicine 906 S Crapo St, Mt Pleasant, MI 48858-3662 2018-10-19
1356778286 Donald Smith Pllc Emergency Medicine 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 2013-10-10
1346486222 Flushing Road Urgent Care PC Emergency Medicine 1301 Flushing Rd, Flint, MI 48504-4710 2008-12-26
1184897209 Donnell Stephen Newman Jr. Emergency Medicine 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 2008-04-09
1205849866 Daryl D Wisdom Emergency Medicine 10015 Cascade Rd Se, Lowell, MI 49331-9529 2006-08-14
1134131683 Rick L Holland Emergency Medicine 8333 Felch Ave, Zeeland, MI 49464 2006-08-13
1760493472 Katherine J Pitus Emergency Medicine 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 2006-08-10
1952319881 Robert Prodinger Emergency Medicine 9825 W Gull Lake Dr, Richland, MI 49083-9543 2006-08-04
1164436671 James Barry Nolin Emergency Medicine 1805 Wild Dr, Richland, MI 49083-9361 2006-07-28
1518987072 Trace Dotson Emergency Medicine 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 2006-07-20
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Competitor

Search similar providers

City GLADWIN
Zip Code 48624

Improve Information

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Dataset Information

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.

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