LUKE WILLIAM GANUCHEAU MD
NPI 1003503004
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 19, 2023PECOS Enrolled
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 376-2211 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luke William Ganucheau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE WILLIAM GANUCHEAU MD (NPI 1003503004) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003503004
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUKE WILLIAM GANUCHEAUCredential: MD
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address4301 W Markham StLittle Rock, AR 72205-7101
Sole ProprietorNo
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1003503004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST, Little Rock, AR 72205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luke William Ganucheau Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Ganucheau's NPI number?

The NPI number for Luke Ganucheau is 1003503004. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Luke Ganucheau located?

Luke Ganucheau practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 376-2211.

What is Luke Ganucheau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luke Ganucheau enrolled in Medicare?

Yes. Luke Ganucheau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke Ganucheau was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.