Dr Lukes Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR LUKES FAMILY MEDICINE LLC

Practice address

1015 State Highway 248
Suite B
Branson, MO 65616-8002

Phone

(417) 337-7511

Fax

(417) 336-9769

NPI assigned

Sep 30, 2011

Organization subpart

No

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

Authorized official

Name

James Paul Lukavsky, M.D.NPI 1861493983

Title

Doctor

Phone

(417) 337-7511

Specialties & licenses 1

Addresses

Other names 1

• James P. Lukavsky, M.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James P Lukavsky Sr., MD

  • Family Medicine Physician
  • Branson, MO
  • NPI 1861493983
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1316221963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 STATE HIGHWAY 248",
            "address_2": "SUITE B",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168002",
            "telephone_number": "417-337-7511",
            "fax_number": "417-336-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 STATE HIGHWAY 248",
            "address_2": "SUITE B",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168002",
            "telephone_number": "417-337-7511",
            "fax_number": "417-336-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LUKES FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "LUKAVSKY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "417-337-7511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James P. Lukavsky, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Branson, MO
• Providers in Branson, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.