Sam S Luk, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 0066291 Issued in FL

Practice address

17580 US Highway 441
Mount Dora, FL 32757-6711

Phone

(352) 383-0608

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11827/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1013982891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 S ATLANTIC AVE",
            "address_2": "#3C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321187256",
            "telephone_number": "386-767-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17580 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-383-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUK",
        "first_name": "SAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 0066291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255452600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathlyn Lorge, PA-C
• Christopher Louis Lorich
• Simone Maria Lowman, APRN
• Amy M Lucarelli, LIC. AC.
• Kayon Lucas
• Ivette Luna
• Kortnie Lynn Lynch, PMHNP-BC
• Robert Dale Lynch, MD
• Sera G Lyon, RBT
• Carly Delaney Maass, AU.D.

• All providers in Mount Dora, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.