JOHNATHAN M. LUTH DO – NPI #1548903040
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JOHNATHAN LUTH is a physician located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1548903040 to JOHNATHAN LUTH on April 14, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on Mar 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNATHAN LUTH below.

NPI Profile for
JOHNATHAN M. LUTH

NPI Number
1548903040
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHNATHAN M. LUTH
Credentials
DO
Primary location
964 AJAX STREET
JACKSONVILLE, FL 32212
Phone: (904) 546-7094 Fax:
Mailing address
8901 WISCONSIN AVE
BETHESDA, MD 20889-0004
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0102208035

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.