Luke Pantelis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

139974 Issued in OH

Practice address

6586 Windgate Ave NE
Canton, OH 44721-2558

Phone

(330) 323-6133

NPI assigned

Nov 26, 2013

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Luke Pantelis

  • Nursing Care Agency
  • Canton, OH
  • NPI 1164815692
  NPD (past) Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1356771596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 WINDGATE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44721",
            "telephone_number": "330-323-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6586 WINDGATE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212558",
            "telephone_number": "330-323-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTELIS",
        "first_name": "LUKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "139974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Pancher
• Earl Wayne Pander, PTA
• Lesley Pander
• Sanjana Pandey
• Rajmony Pannu, M.D.
• Athena Pantoja, CT
• Eva Louisa Paoloni, PA-C
• Zara Paolucci, LPC
• Tamela M Paone, LPCC'S
• Alexandria Georgianna Papacostas, CMA, AAMA. HHA

• Licensed Practical Nurse in Canton, OH
• Providers in Canton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.