Provider Demographics
NPI:1417905530
Name:HEHMAN, LUKE JOSEPH (CNP)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:JOSEPH
Last Name:HEHMAN
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-301-5650
Mailing Address - Fax:859-301-6050
Practice Address - Street 1:1 MEDICAL VILLAGE DR
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3403
Practice Address - Country:US
Practice Address - Phone:859-301-5650
Practice Address - Fax:859-301-6050
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06154363L00000X
KY3003001363L00000X, 363L00000X
KY1056504363LF0000X
OHRN278587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78002649Medicaid
IN200247360Medicaid
KYP00948077OtherRAILROAD MEDICARE
OH2330043Medicaid
OH611300608059OtherCARESOURCE
OH611300608059OtherCARESOURCE
IN200247360Medicaid
OH2330043Medicaid
OHHENP07026Medicare PIN
KY78002649Medicaid