1578540522 NPI number — MR. LUKE GERARD NELLIGAN D.O.

Table of content: MR. LUKE GERARD NELLIGAN D.O. (NPI 1578540522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578540522 NPI number — MR. LUKE GERARD NELLIGAN D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NELLIGAN
Provider First Name:
LUKE
Provider Middle Name:
GERARD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578540522
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/18/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4615 ROCKCRESS CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ZIONSVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46077-8127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-503-1654
Provider Business Mailing Address Fax Number:
317-536-3591

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5175 E 300 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITESTOWN
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46075-9591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-335-6301
Provider Business Practice Location Address Fax Number:
317-536-3591
Provider Enumeration Date:
12/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  02001548 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 768544 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5428035 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100465550A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000520470 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200856130 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 15D1069058 . This is a "CLIA" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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