Active NPI
Peter Joseph Lukowski, M.D.
- Orthopaedic Surgery Physician
- Little River, SC
National Provider Identifier
1699776351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 11728
- Practice address
- 3980 Highway 9 E
Suite 200
Little River, SC 29566-8163 - Phone
- (843) 390-0100
- Fax
- (843) 390-0038
- NPI assigned
- Aug 3, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 11728 | SC | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 200200401 | NC |
Addresses
Primary practice location
3980 Highway 9 E
Suite 200
Little River, SC 29566-8163
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7162
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11728 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1699776351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-7162",
"fax_number": "843-777-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 HIGHWAY 9 E",
"address_2": "SUITE 200",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295668163",
"telephone_number": "843-390-0100",
"fax_number": "843-390-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKOWSKI",
"first_name": "PETER",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2015-10-16",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "11728",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "200200401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.