Provider Demographics
NPI:1699960310
Name:WARD, LUTHER E (MD)
Entity type:Individual
Prefix:DR
First Name:LUTHER
Middle Name:E
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:94220 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GOLD BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97444-7756
Mailing Address - Country:US
Mailing Address - Phone:541-247-3155
Mailing Address - Fax:541-247-3151
Practice Address - Street 1:94244 FOURTH STREET
Practice Address - Street 2:
Practice Address - City:GOLD BEACH
Practice Address - State:OR
Practice Address - Zip Code:97444-7756
Practice Address - Country:US
Practice Address - Phone:541-247-3155
Practice Address - Fax:541-247-3530
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD150957208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1487696985OtherCURRY GENERAL HOSPITAL NPI
OR0000ZGBDGOtherCURRY GENERAL HOSPITAL MEDICARE PART B
R0000ZGBDGOtherCURRY MEDICAL PRACTICE
OR93-0937095OtherCURRY HEALTH DISTRICT TAX I.D.
OR381322OtherCURRY GENERAL HOSPITAL MEDICARE PART A
ORR0000ZGBDFOtherCURRY MEDICAL CENTER MEDIARE PART B
1083656367OtherCURRY MEDICAL CENTER NPI
OR1346486818OtherCURRY MEDICAL PRACTICE NPI
1487696985OtherCURRY MEDICAL CENTER MEDIARE PART A
OR1192363OtherCURRY GENERAL HOSPITAL MEDICAID
R0000ZGBDGOtherCURRY MEDICAL CENTER MEDICARE PART A
OR500603345OtherCURRY MEDICAL CENTER MEDICAID
OR500624254Medicaid