Provider Demographics
NPI:1235309519
Name:STEPHEN W LUIGS MD PSC
Entity Type:Organization
Organization Name:STEPHEN W LUIGS MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:FINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-441-0021
Mailing Address - Street 1:1532 LONE OAK RD
Mailing Address - Street 2:SUITE G10
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-7913
Mailing Address - Country:US
Mailing Address - Phone:270-441-0021
Mailing Address - Fax:270-441-7922
Practice Address - Street 1:1532 LONE OAK RD
Practice Address - Street 2:SUITE G10
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7913
Practice Address - Country:US
Practice Address - Phone:270-441-0021
Practice Address - Fax:270-441-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5986Medicare PIN