Luckay Doc, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102049890 Issued in VA

Legal business name

LUCKAY DOC, PLLC

Practice address

48 Stoney Battery Rd
Troutville, VA 24175-5800

Phone

(540) 591-9013

Fax

(314) 536-8754

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R Luckay

Title

D.O

Phone

(540) 591-9013

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8253/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda L Luckay, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1295919454
  NPD (past)
• Lori A. Rutherford, NP

  • Gerontology Nurse Practitioner
  • Roanoke, VA
  • NPI 1679538946
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1093847873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 STONEY BATTERY RD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241755800",
            "telephone_number": "540-591-9013",
            "fax_number": "314-536-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 STONEY BATTERY RD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241755800",
            "telephone_number": "540-591-9013",
            "fax_number": "314-536-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKAY DOC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "LUCKAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "D.O",
        "authorized_official_telephone_number": "540-591-9013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102049890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Starrett Jamison, M.A., NCSP
• Kevin Alan Kissner, RN, NREMT-P
• Lianna Lawson, DO
• Life's Little Blessings Birth Services, LLC
• Janet Martinez, OTR
• Scott Kyle Miller, DDS
• Monas Ark PLC
• Sarah Lawson Moore
• Ronald Overstreet, MD

• Family Medicine Physician in Troutville, VA
• Providers in Troutville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.