Oak Ridge Gastroenterology Associates, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

OAK RIDGE GASTROENTEROLOGY ASSOCIATES, PC

Practice address

988 Oak Ridge Tpke
Suite 200, Physicians Plaza
Oak Ridge, TN 37830-6930

Phone

(865) 483-4366

Fax

(865) 483-5957

NPI assigned

Aug 30, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth F Luckmann, MDNPI 1679566210

Title

President

Phone

(865) 483-4366

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Frederick Luckmann, MD

  • Gastroenterology Physician
  • Oak Ridge, TN
  • NPI 1679566210
  NPD Authorized official
• Ronald Keith Wray, MD

  • Gastroenterology Physician
  • Oak Ridge, TN
  • NPI 1184617649
  NPD
• Kelly Hart Finnegan, PA

  • Physician Assistant
  • Blacksburg, VA
  • NPI 1801211651
  NPD
• Mark D Prince, MD

  • Gastroenterology Physician
  • Tyler, TX
  • NPI 1629061171
  NPD

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154314615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE",
            "address_2": "SUITE 200, PHYSICIANS PLAZA",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306930",
            "telephone_number": "865-483-4366",
            "fax_number": "865-483-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE",
            "address_2": "SUITE 200, PHYSICIANS PLAZA",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306930",
            "telephone_number": "865-483-4366",
            "fax_number": "865-483-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE GASTROENTEROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCKMANN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-483-4366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison O'Hara, PA-C
• Summer Rose O'Hearn
• Oak Ridge Chiropractic
• Oak Ridge Clinical Services LLC
• Oak Ridge Endodontics
• Oak Ridge Medical Clinic, P.C.
• Oak Ridge Medical Imaging
• Oak Ridge Optical Dispensary
• Oak Ridge Pharmacy
• Oak Ridge Pharmacy

• Gastroenterology Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.