DR. JOHNATHAN MARK LUTH DO
NPI 1548903040
General Practice in Jacksonville, FL

Q: What is Johnathan Luth's NPI number?

The NPI number for Johnathan Luth is 1548903040. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Johnathan Luth'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 Johnathan Luth was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 14, 2022

964 AJAX STREET, JACKSONVILLE, FL 32212(904) 546-7094 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Johnathan Mark Luth Do NPPES

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

DR. JOHNATHAN MARK LUTH DO (NPI 1548903040) is an individual general practice provider in Jacksonville, Florida, licensed in Virginia (0102208035) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1548903040

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JOHNATHAN MARK LUTHCredential: DO

Location Address964 AJAX STREETJacksonville, FL 32212

Mailing Address8901 Wisconsin AveBethesda, MD 20889-0004

Phone(904) 546-7094

Sole ProprietorNo

Enumeration DateApril 14, 2022

Last NPPES UpdateMarch 12, 2024

NPPES CertifiedMarch 12, 2024

✔ NPI 1548903040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102208035

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

964 AJAX STREET, Jacksonville, FL 32212

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Other Providers at the Same Location NPPES

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

JOSHUA FISH MD

Family Medicine

964 AJAX STREET
JACKSONVILLE, FL 32212

Duval County (904) 546-7127

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 Johnathan Luth's NPI number?

The NPI number for Johnathan Luth is 1548903040. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Johnathan Luth located?

Johnathan Luth practices at 964 Ajax Street, Jacksonville, FL 32212. The listed phone number is (904) 546-7094.

What is Johnathan Luth'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 Johnathan Luth was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.