Provider Demographics
NPI:1538135959
Name:LUZAR, MICHAEL JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:LUZAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 GYPSY LN
Mailing Address - Street 2:RHEUMATOLOGY ASSOCIATES INC.
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1315
Mailing Address - Country:US
Mailing Address - Phone:330-884-4740
Mailing Address - Fax:330-884-4738
Practice Address - Street 1:500 GYPSY LN
Practice Address - Street 2:RHEUMATOLOGY ASSOCIATES INC.
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1315
Practice Address - Country:US
Practice Address - Phone:330-884-4740
Practice Address - Fax:330-884-4738
Is Sole Proprietor?:No
Enumeration Date:2006-02-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35 -- 03 -- 6237 --L207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0392294Medicaid
A.L. 700-7051OtherDEA NUMBER-FEDERAL
OH0463654Medicare PIN
OH0392294Medicaid