Individual provider Active NPI

Cynthia Estelle Luck, DO

  • Family Medicine Physician
  • Houston, PA
National Provider Identifier
1295709376
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012509 Issued in PA
Practice address
201 S Johnson Rd
Houston, PA 15342-1351
Phone
(724) 873-8740
Fax
(724) 873-8745
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012509 PA Primary

Addresses

Primary practice location

201 S Johnson Rd
Houston, PA 15342-1351

Mailing address

201 S Johnson Rd
Houston, PA 15342-1351
Phone (724) 873-8740

Other identifiers 1

IdentifierTypeStateIssuer
101152233MedicaidPA

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS012509PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Medical Practice Network Family Medicine Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
University Medical Associates Inc Past Accepting new patients
Ohiohealth Corporation Family Medicine Past Accepting new patients
Allegheny Medical Practice Network Family Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1295709376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S JOHNSON RD",
            "city": "HOUSTON",
            "state": "PA",
            "postal_code": "153421351",
            "telephone_number": "724-873-8740",
            "fax_number": "724-873-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S JOHNSON RD",
            "city": "HOUSTON",
            "state": "PA",
            "postal_code": "153421351",
            "telephone_number": "724-873-8740",
            "fax_number": "724-873-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "CYNTHIA",
        "middle_name": "ESTELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101152233",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.