Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083748719 Individual Practitioner Male Practitioner

Dr. J. Enrique Lujan , MD

Pediatrics • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dr. J. Lujan, MD is a registered healthcare professional specializing in Pediatrics in Crestview, FL. Practice services are available at 160 E REDSTONE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

160 E Redstone Ave

Crestview, FL 325395348

Telephone 8506890555
Fax 8506893531
Associated Practice Facility / Clinic
🏢 Enrique Lujan Facility NPI 1629102389

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Crestview, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL 54171

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc Bs Provider No.
07962 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Leslie Rossley , ARNP, CPNP

Nurse Practitioner - Pediatrics

NPI 1003157181

Advanced Registered Nurse Practitioner, Certified Pediatric Nurse Practitioner

NPI 1023144243

Doctor of Medicine (M.D.)

Tracy Logsdon , CPNP

Nurse Practitioner - Pediatrics

NPI 1699789271

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 160 E REDSTONE AVE, CRESTVIEW, FL 325395348 (Tel: 8506890555)

📍
Updated Business Mailing Address July 09, 2007

Registered at 160 E REDSTONE AVE, CRESTVIEW, FL 325395348 (Tel: 8506890555)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as J. LUJAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #54171 in FL)

🟢
Initial NPI Registration & Enumeration March 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083748719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

160 E Redstone Ave

Crestview, FL 325395348

Phone: 8506890555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.