DR. JAY ALLEN LUGTHART M.D.
NPI 1215059241
General Practice in Jenison, MI

Q: What is Jay Lugthart's NPI number?

The NPI number for Jay Lugthart is 1215059241. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Jay Lugthart's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Lugthart was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2007

670 BALDWIN ST, JENISON, MI 49428(616) 457-4610(616) 457-8750 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jay Allen Lugthart M.d. NPPES

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

DR. JAY ALLEN LUGTHART M.D. (NPI 1215059241) is an individual general practice provider in Jenison, Michigan, licensed in Michigan (JL039848) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1215059241

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JAY ALLEN LUGTHARTCredential: M.D.

Location Address670 BALDWIN STJenison, MI 49428-9757

Mailing Address4419 68th St SwByron Center, MI 49315-9428

Phone(616) 457-4610

Fax(616) 457-8750

Sole ProprietorNo

Enumeration DateApril 3, 2007

Last NPPES UpdateApril 1, 2008

✔ NPI 1215059241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · JL039848

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License JL039848 (MI)

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License JL039848 (MI)

670 BALDWIN ST, Jenison, MI 49428

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Other Identifiers 8

Other0107011492Bcbs

Medicare PIND16037001

Other152756Phcs

Other4099325Aetna

Other114151PCCcppo, Chmo, Mercy Health

OtherB44069MI · Priority Health

Other121787Healr

Medicare UPINB44069

Other Providers at the Same Location NPPES

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

GEORGETOWN MEDICAL CENTER LLC

General Practice

670 BALDWIN ST
JENISON, MI 49428

Ottawa County (616) 457-4610

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 Jay Lugthart's NPI number?

The NPI number for Jay Lugthart is 1215059241. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jay Lugthart located?

Jay Lugthart practices at 670 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 457-4610.

What is Jay Lugthart's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jay Lugthart was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.