Amy K Luckeydoo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.085066 Issued in OH

Practice address

1264 Hospital Road
Chillicothe, OH 45601-7100

Phone

(740) 779-6805

Fax

(740) 779-9116

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAACDA/Endpoint/IAACDA

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.

• Children'S Community Practices, LLC

  • Pediatrics Physician
  • Mansfield, OH
  • NPI 1386031896
  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1275567240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 HOSPITAL ROAD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017100",
            "telephone_number": "740-779-6805",
            "fax_number": "740-779-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 HOSPITAL ROAD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017100",
            "telephone_number": "740-779-6805",
            "fax_number": "740-779-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKEYDOO",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.085066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2532790",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Nicole Lower, CRNA
• Rufus F Lowman Jr., PA-C
• Michael J Loy, DO
• LP Chillicothe, LLC
• David Paul Lucas, CNP
• Heather Ludwig
• Maria Lump-Dudzinski
• Amanda Sue Lump
• Carma Jane Lump, LPN
• Laurel Lunsford, RKT

• Pediatrics Physician in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.