Active NPI
Luke Prosthetic and Orthotic Lab, Inc.
- Prosthetic/Orthotic Supplier
- Findlay, OH
National Provider Identifier
1467444190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- LP-0069
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000247835 | Other | OH | ANTHEM BCBS |
| 2333808 | Medicaid | OH | |
| 283749811-00 | Other | OH | BWC |
National Provider Directory
National Provider DirectoryLocations
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.