Organization Active NPI

Gary a Luken MD

  • Family Medicine Physician
  • Manheim, PA
National Provider Identifier
1629133699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD037941E Issued in PA
Legal business name
GARY A LUKEN MD
Practice address
41 Doe Run Rd
Manheim, PA 17545-8553
Phone
(717) 664-1001
Fax
(717) 664-1003
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Allen Luken, MDNPI 1760499412
Title
Owner Physician
Phone
(717) 664-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD037941E PA Primary

Addresses

Primary practice location

41 Doe Run Rd
Manheim, PA 17545-8553

Mailing address

41 Doe Run Rd
Manheim, PA 17545-8553
Phone (717) 664-1001

Other identifiers 2

IdentifierTypeStateIssuer
03211600OtherPABLUE CROSS
0543047OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

41 Doe Run Rd
Manheim, PA 17545
Phone (717) 664-1001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629133699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DOE RUN RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175458553",
            "telephone_number": "717-664-1001",
            "fax_number": "717-664-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DOE RUN RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175458553",
            "telephone_number": "717-664-1001",
            "fax_number": "717-664-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A LUKEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUKEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "717-664-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037941E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "03211600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0543047",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manheim, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.