EDWARD C LUAN MD SC NPI 1023298916

Obstetrics & Gynecology in Peoria, IL

NPI 1023298916 Organization Obstetrics & Gynecology CLIA Number 14D1016544 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About EDWARD C LUAN MD SC

Edward C Luan Md Sc is a women's health care provider established in Peoria, Illinois specializing in obstetrics & gynecology. The NPI number of Edward C Luan Md Sc is 1023298916 and was assigned on November 2007. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Edward C Luan Md Sc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Gail A Orwig (Patient Account Manager)

Women's health care providers like Edward C Luan Md Sc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

The CLIA number of Edward C Luan Md Sc is 14D1016544 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Edward C Luan Md Sc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1023298916

Provider NameEDWARD C LUAN MD SC
Provider Location Address7620 N UNIVERSITY ST STE 108 PEORIA, IL 61614
Provider Mailing Address7620 N UNIVERSITY ST STE 108 PEORIA, IL 61614
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-07-2007
Last Update Date11-07-2007


Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

EDWARD C LUAN MD SC
7620 N UNIVERSITY ST STE 108
PEORIA, IL
ZIP 61614
Phone: (309) 692-5600
Fax: (309) 692-5601

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Mailing Address

EDWARD C LUAN MD SC
7620 N UNIVERSITY ST STE 108
PEORIA, IL
ZIP 61614
Phone: (309) 692-5600
Fax: (309) 692-5601



Authorized Official

Authorized Official Name GAIL A ORWIG
Authorized Official TitlePATIENT ACCOUNT MANAGER
Authorized Official Phone(309) 692-5600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023298916 is:

CLIA Number14D1016544
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.