Organization Active NPI

Cyriac T Luke, MD, Apmc

  • Obstetrics & Gynecology Physician
  • Plaquemine, LA
National Provider Identifier
1477811339
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.045572R Issued in LA
Legal business name
CYRIAC T LUKE, MD, APMC
Practice address
24730 Plaza Dr
Plaquemine, LA 70764-6827
Phone
(225) 687-0248
Fax
(225) 687-8395
NPI assigned
Apr 30, 2012
Last updated
Apr 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Mrs. Lola M Cedotal
Title
Office Manager
Phone
(225) 687-0248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD.045572R LA Primary

Addresses

Primary practice location

24730 Plaza Dr
Plaquemine, LA 70764-6827

Mailing address

24730 Plaza Dr
Plaquemine, LA 70764-6827
Phone (225) 687-0248

Other identifiers 1

IdentifierTypeStateIssuer
1195391MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1477811339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24730 PLAZA DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646827",
            "telephone_number": "225-687-0248",
            "fax_number": "225-687-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24730 PLAZA DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646827",
            "telephone_number": "225-687-0248",
            "fax_number": "225-687-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRIAC T LUKE, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "CEDOTAL",
        "authorized_official_first_name": "LOLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-687-0248",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.045572R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1195391",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.