Organization Active NPI

Luke Prosthetic and Orthotic Lab, Inc.

  • Prosthetic/Orthotic Supplier
  • Findlay, OH
National Provider Identifier
1467444190
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
LP-0069 Issued in OH
Legal business name
LUKE PROSTHETIC AND ORTHOTIC LAB, INC.
Practice address
315 E Foulke Ave
Findlay, OH 45840-4619
Phone
(740) 993-0066
Fax
(419) 664-4629
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Mr. Jeffrey Alan Luke, CPO
Title
Owner, Prosthetic
Phone
(740) 993-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X LP-0069 OH Primary

Addresses

Primary practice location

315 E Foulke Ave
Findlay, OH 45840-4619

Mailing address

117 E Wallace St
Findlay, OH 45840-5219
Phone (419) 422-5009

Other identifiers 3

IdentifierTypeStateIssuer
000000247835OtherOHANTHEM BCBS
2333808MedicaidOH
283749811-00OtherOHBWC

National Provider Directory

National Provider Directory

Locations

315 E Foulke Ave
Findlay, OH 45840
Phone (740) 993-0066

422 E Sandusky St
Findlay, OH 45840
Phone (419) 422-5009

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1467444190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E WALLACE ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458405219",
            "telephone_number": "419-422-5009",
            "fax_number": "419-422-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E FOULKE AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458404619",
            "telephone_number": "740-993-0066",
            "fax_number": "419-664-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE PROSTHETIC AND ORTHOTIC LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER, PROSTHETIC",
        "authorized_official_telephone_number": "740-993-0066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LP-0069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000247835",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2333808",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "283749811-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.