Individual provider Active NPI

Eva S Laukhuf, M.D.

  • Specialist
  • Bradenton, FL
National Provider Identifier
1932201282
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME24084 Issued in FL
Practice address
1810 59TH St W
Bradenton, FL 34209-4630
Phone
(941) 792-1412
Fax
(941) 795-0753
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME24084 FL Primary

Addresses

Primary practice location

1810 59TH St W
Bradenton, FL 34209-4630

Mailing address

1810 59TH St W
Bradenton, FL 34209-4630
Phone (941) 792-1412

Other identifiers 2

IdentifierTypeStateIssuer
91826OtherFLBC/BS GROUP
71826OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000828 FL Practitioner - Family PracticePractitioner - Pediatric Medicine 1557306594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Indiana University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Medical Care, IncGroup PAC ID 9335108851, 6 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2225 59TH St W
Suite B
Bradenton, FL 34209-7006
Phone (941) 792-1412

7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Bradenton, FL, CCN 107656
  • Southwest Florida Home Care Inc Home health agency, Tampa, FL, CCN 687063
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • Surrey Place Healthcare and Rehabilitation Nursing home, Bradenton, FL, CCN 105629

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1932201282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUKHUF",
        "first_name": "EVA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME24084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "91826",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "71826",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.