Active NPI
Chad Eugene Luke, PA-C
- Family Medicine Physician
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7809946-8002
- Practice address
- 811 N 900 W
Orem, UT 84057-7701 - Phone
- (801) 434-7600
- Fax
- (801) 434-7604
- NPI assigned
- Aug 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7809946-8002 | UT | Primary |
Addresses
Primary practice location
811 N 900 W
Orem, UT 84057-7701
Mailing address
811 N 900 W
Orem, UT 84057-7701
Phone (801) 434-7600
Other practice location 1
41 E 1140 N Ste C
Saratoga Springs, UT 84045-5467
Phone (801) 766-2121
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7809946-8002 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth L Crump MD PC | Family Medicine | Current | Accepting new patients |
Locations
811 N 900 W
Orem, UT 84057
Phone (801) 434-7600
41 E 1140 N
Ste C
Saratoga Springs, UT 84045
Phone (801) 766-2121
Interoperability endpoints
- https://api.platform.athenahealth.com/3391/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lakeview Family Medicine
- Family Medicine Physician
- Orem, UT
- NPI 1053408450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1386371201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 N 900 W",
"city": "OREM",
"state": "UT",
"postal_code": "840577701",
"telephone_number": "801-434-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N 900 W",
"city": "OREM",
"state": "UT",
"postal_code": "840577701",
"telephone_number": "801-434-7600",
"fax_number": "801-434-7604"
}
],
"practiceLocations": [
{
"address_1": "41 E 1140 N Ste C",
"address_purpose": "LOCATION",
"city": "Saratoga Springs",
"state": "UT",
"postal_code": "840455467",
"country_code": "US",
"telephone_number": "801-766-2121",
"fax_number": "801-768-2612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKE",
"first_name": "CHAD",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-02",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "7809946-8002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.