Basic Information
| Provider Information | |||||||||
| NPI: | 1699960310 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARD | ||||||||
| FirstName: | LUTHER | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 94220 4TH ST | ||||||||
| Address2: | |||||||||
| City: | GOLD BEACH | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974447756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412473155 | ||||||||
| FaxNumber: | 5412473151 | ||||||||
| Practice Location | |||||||||
| Address1: | 94244 FOURTH STREET | ||||||||
| Address2: | |||||||||
| City: | GOLD BEACH | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974447756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412473155 | ||||||||
| FaxNumber: | 5412473530 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2007 | ||||||||
| LastUpdateDate: | 02/13/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD150957 | OR | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1487696985 | 01 | CURRY GENERAL HOSPITAL NPI | OTHER | 0000ZGBDG | 01 | OR | CURRY GENERAL HOSPITAL MEDICARE PART B | OTHER | R0000ZGBDG | 01 | CURRY MEDICAL PRACTICE | OTHER | 93-0937095 | 01 | OR | CURRY HEALTH DISTRICT TAX I.D. | OTHER | 381322 | 01 | OR | CURRY GENERAL HOSPITAL MEDICARE PART A | OTHER | R0000ZGBDF | 01 | OR | CURRY MEDICAL CENTER MEDIARE PART B | OTHER | 1083656367 | 01 | CURRY MEDICAL CENTER NPI | OTHER | 1346486818 | 01 | OR | CURRY MEDICAL PRACTICE NPI | OTHER | 1487696985 | 01 | CURRY MEDICAL CENTER MEDIARE PART A | OTHER | 1192363 | 01 | OR | CURRY GENERAL HOSPITAL MEDICAID | OTHER | R0000ZGBDG | 01 | CURRY MEDICAL CENTER MEDICARE PART A | OTHER | 500603345 | 01 | OR | CURRY MEDICAL CENTER MEDICAID | OTHER | 500624254 | 05 | OR | MEDICAID |