Jay Allen Lugthart, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

JL039848 Issued in MI

Practice address

670 Baldwin St
Jenison, MI 49428-9757

Phone

(616) 457-4610

Fax

(616) 457-8750

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jlugthart59541@direct.metrohealth.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgetown Medical Center LLC

  • General Practice Physician
  • Jenison, MI
  • NPI 1427170414
  NPD (past) Authorized official
• Michigan Medical Patient Care

  • Durable Medical Equipment & Medical Supplies
  • Holland, MI
  • NPI 1871741652
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1215059241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 68TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289757",
            "telephone_number": "616-457-4610",
            "fax_number": "616-457-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGTHART",
        "first_name": "JAY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "JL039848",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "JL039848",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "JL039848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCPPO, CHMO, MERCY HEALTH",
            "identifier": "114151PC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALR",
            "identifier": "121787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "152756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4099325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0107011492",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "B44069",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel Lokers
• Lindsey Losinski
• Lea Jade Louie
• Matthew T. Lubbers, D.D.S.
• Cynthia Lucas, LMSW
• Chase G Lunde
• Lauren Jennifer Lyon, PT, DPT
• Joshua Marion
• Mark LM Powell DDS MSD PC (Powell Orthodontics)
• Sarah Kathryn Marston, PHARM.D

• General Practice Physician in Jenison, MI
• Providers in Jenison, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.