Jodi R Lutz (NPI# 1063996130, PAC ID# 3870828486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063996130 |
| PAC ID by PECOS | 3870828486 |
| Professional Enrollment ID | I20190718000048 |
| Full Name | Jodi R Lutz |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
1650 Washington Ave Alton IL 62002-3931 |
| Phone Number | 3146872736 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1650 Washington Ave, Alton, IL 62002-3931 | 3146872736 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Heather Leung | Nurse Practitioner | Ssm Medical Group Inc | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 |
| Street Address |
1650 WASHINGTON AVE |
| City | ALTON |
| State | IL |
| Zip | 62002-3931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Ella Lindsay | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Cheryl Bray | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Chih Jen Wang | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Find all physicians in zip 62002 | |||
| City | ALTON |
| Zip Code | 62002 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jodi R Lutz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.