Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548903040 Individual Practitioner Male Practitioner

Dr. Johnathan Mark Luth , DO

General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Johnathan Luth, DO is a registered healthcare professional specializing in General Practice in Jacksonville, FL. Practice services are available at 964 AJAX STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

964 Ajax Street

Jacksonville, FL 32212

Telephone 9045467094
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
84 Specialists

Practicing in Jacksonville, FL (2490 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102208035

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Steven Undheim , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003357559
Adam Birch

Physician Assistant

NPI 1083576045

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

General Practice (License #0102208035 in VA)

📍
Updated Practice Location January 22, 2024

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

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

Military Health Care Provider

NPI Profile Active April 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2022

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

📍
Updated Business Mailing Address April 14, 2022

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004

👤
Provider Name / Credentials Updated April 14, 2022

Recorded as JOHNATHAN LUTH, DO

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

8901 Wisconsin Ave

Bethesda, MD 208890004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.