DEREK THOMAS LUTHI PA-C NPI 1114548450

NPI Information

NPI: 1114548450
Provider Name: DEREK THOMAS LUTHI, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
102 MAIN ST
GREENFIELD, MA
ZIP 01301
Phone: (413) 325-8500
Get Directions

Derek Thomas Luthi, PA-C is a medical physician assistant in Greenfield, MA with 4 years of experience. Derek Thomas Luthi, PA-C NPI is 1114548450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 MAIN ST
GREENFIELD, MA
ZIP 01301-275
Phone: (413) 325-8500
Fax: (508) 363-1504

The NPI 1114548450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2020 and was last updated on 9/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA7972	MASSACHUSETTS	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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