Tim Luchka, OPA-C, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

4031 W Plano Pkwy Ste 100
Plano, TX 75093-5617

Phone

(972) 985-1072

Fax

(972) 964-3469

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1295878072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935617",
            "telephone_number": "972-985-1072",
            "fax_number": "972-964-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935617",
            "telephone_number": "972-985-1072",
            "fax_number": "972-964-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCHKA",
        "first_name": "TIM",
        "credential": "OPA-C, SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.