Organization Active NPI

Lukner Medical Clinic PLLC

  • Internal Medicine Physician
  • Pampa, TX
National Provider Identifier
1881146215
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LUKNER MEDICAL CLINIC PLLC
Practice address
2545 Perryton Pkwy Ste 31
Pampa, TX 79065-2820
Phone
(806) 329-3050
Fax
(281) 605-5697
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dr. Ralf B Lukner, MD PHDNPI 1053607507
Title
President
Phone
(806) 329-3050

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2545 Perryton Pkwy Ste 31
Pampa, TX 79065-2820

Mailing address

100 W 30TH Ave
Suite 107
Pampa, TX 79065-2814
Phone (218) 324-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128002115 TX Part B Supplier - Clinic/Group Practice 8729367297 Receives reassigned benefits from 1 practitioner
Practice locations: Pampa, TX

National Provider Directory

National Provider Directory

Locations

2545 Perryton Pkwy
Unit 3132
Pampa, TX 79065
Phone (806) 329-3050

2545 Perryton Pkwy
Spc 31
Pampa, TX 79065

2545 Perryton Pkwy
Ste 31
Pampa, TX 79065
Phone (806) 329-3050

2545 Perryton Pkwy
Ste 3132
Pampa, TX 79065
Phone (806) 329-3050

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": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1881146215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 30TH AVE",
            "address_2": "SUITE 107",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652814",
            "telephone_number": "218-324-6299",
            "fax_number": "281-605-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 PERRYTON PKWY STE 31",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652820",
            "telephone_number": "806-329-3050",
            "fax_number": "281-605-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKNER MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "LUKNER",
        "authorized_official_first_name": "RALF",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-329-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.