Active NPI
Allan J Luck, M.D.
- Psychiatry Physician
- Milwaukee, WI
National Provider Identifier
1255373015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14969
- Practice address
- 3267 S 16TH St
Ohio Building - Room 209
Milwaukee, WI 53215-4500 - Phone
- (414) 389-3111
- Fax
- (414) 389-3110
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 14969 | WI | Primary |
Addresses
Primary practice location
3267 S 16TH St
Ohio Building - Room 209
Milwaukee, WI 53215-4500
Mailing address
3267 S 16TH St
Ohio Building - Room 209
Milwaukee, WI 53215-4500
Phone (414) 389-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30951800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension St Francis Hospital, Inc | Past | Accepting new patients | |
| Ascension SE Wisconsin Hospital, Inc | Past | Accepting new patients | |
| Ascension St Francis Hospital, Inc | Past | Accepting new patients | |
| Wheaton Franciscan Healthcare | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1710775408
-
- Clinic/Center
- Milwaukee, WI
- NPI 1154589463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1255373015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3267 S 16TH ST",
"address_2": "OHIO BUILDING - ROOM 209",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154500",
"telephone_number": "414-389-3111",
"fax_number": "414-389-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3267 S 16TH ST",
"address_2": "OHIO BUILDING - ROOM 209",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154500",
"telephone_number": "414-389-3111",
"fax_number": "414-389-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCK",
"first_name": "ALLAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "14969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30951800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.