James N Luckett Jr MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME78115 Issued in FL

Legal business name

JAMES N LUCKETT JR MD PA

Practice address

2020 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1106

Phone

(954) 566-2160

Fax

(954) 566-2180

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

James N Luckett Jr., MDNPI 1114938495

Title

Owner

Phone

(954) 566-2160

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• James N Luckett, MD

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1114938495
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1811175144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E OAKLAND PARK BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061106",
            "telephone_number": "954-566-2160",
            "fax_number": "954-566-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061106",
            "telephone_number": "954-566-2160",
            "fax_number": "954-566-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES N LUCKETT JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-566-2160",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257552300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D Stern MD PA
• James E Lang MD PA
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• James M Normile OD PA
• James Shoukas MD PA
• Adam James, PHARMD
• Amanda James
• Erin C James, PA
• June James

• Internal Medicine Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.