Provider Demographics
NPI:1073194288
Name:SCHAFFER, LUKE JAMES (DO)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:JAMES
Last Name:SCHAFFER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 CIRCLEVILLE PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-2269
Mailing Address - Country:US
Mailing Address - Phone:740-571-9900
Mailing Address - Fax:
Practice Address - Street 1:1434 CIRCLEVILLE PLAZA DR
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-2269
Practice Address - Country:US
Practice Address - Phone:740-571-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.016428207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine