Dr Luke LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02001548 Issued in IN

Legal business name

DR LUKE LLC

Practice address

55 Brendon Way
Suite 800
Zionsville, IN 46077-1961

Phone

(317) 698-4792

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Luke G Nelligan, DO

Title

Owner

Phone

(317) 698-4792

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1972725570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRENDON WAY",
            "address_2": "SUITE 800",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771961",
            "telephone_number": "317-698-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRENDON WAY",
            "address_2": "SUITE 800",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771961",
            "telephone_number": "317-698-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LUKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "NELLIGAN",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-698-4792",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5428035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000520470",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "768544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carmen Maria Drambarean, PHARMD
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• Sarah Dube, MSW, LCSW
• Kyndra Duerstock
• Carrie J. Duff, PT

• Family Medicine Physician in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.