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Dr. Johnathan Mark Luth , DO

General Practice β€’ Jacksonville, FL

Active NPI 1548903040 Individual Practitioner Male Practitioner
Practice location in NPPES

964 Ajax Street
Jacksonville, FL 32212

Call 9045467094 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

964 Ajax Street

Jacksonville, FL 32212

Telephone 9045467094
Organization at the Same NPPES Address or Phone
Branch Medical Clinic Jacksonville Facility NPI 1104331065

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

81 active clinicians are listed under General Practice with a practice address in Jacksonville, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

7.4% of these 81 clinicians have the CMS telehealth indicator.

28.4% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0102208035

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

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2024

General Practice (license number reported to NPPES: VA 0102208035)

πŸ“
Updated Practice Location January 22, 2024

Registered at 964 AJAX STREET, JACKSONVILLE, FL 32212 (Tel: 9045467094)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2024

Military Health Care Provider

βœ…
NPI Profile Active April 14, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 14, 2022

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004 (Tel: 3012954503)

πŸ“
Business Mailing Address (Initial Record) April 14, 2022

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004

πŸ‘€
Provider Name / Credentials (Initial Record) April 14, 2022

Recorded as JOHNATHAN LUTH, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 14, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548903040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2022
Last Update: March 12, 2024
Sole Proprietor: No

Other General Practices in Jacksonville

All General Practices in Jacksonville

Mailing Address

8901 Wisconsin Ave

Bethesda, MD 208890004

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.