Ottis Louk Jr.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1036 Possum Hollow Rd
Mill Creek, WV 26280-5112

Phone

(904) 614-0466

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1770219271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WILSON LN",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415216",
            "telephone_number": "304-636-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 POSSUM HOLLOW RD",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262805112",
            "telephone_number": "904-614-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUK",
        "first_name": "OTTIS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise A. Leach, PA-C
• Richard Liedy
• Herman Light
• Julie A Light
• Harley Lloyd
• Lacey Marstiller
• Amber McCarty
• Haylee McLaughlin
• Shannon Nunley
• Samantha Oldaker

• Personal Care Attendant in Mill Creek, WV
• Providers in Mill Creek, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.