Active NPI
Garron Michael Lukas, MD
- Surgery Physician
- Landrum, SC
National Provider Identifier
1396586913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD26507
- Practice address
- 16 Raven Rd
Landrum, SC 29356-3127 - Phone
- (217) 493-1316
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD26507 | SC | Primary |
Addresses
Primary practice location
16 Raven Rd
Landrum, SC 29356-3127
Mailing address
16 Raven Rd
Landrum, SC 29356-3127
Phone (217) 493-1316
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26507 | SC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1396586913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 RAVEN RD",
"city": "LANDRUM",
"state": "SC",
"postal_code": "293563127",
"telephone_number": "217-493-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 RAVEN RD",
"city": "LANDRUM",
"state": "SC",
"postal_code": "293563127",
"telephone_number": "217-493-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKAS",
"first_name": "GARRON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "MD26507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landrum, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.