Healthcare Provider Details

I. General information

NPI: 1467932384
Provider Name (Legal Business Name): LUKE ANDREW TOMKO PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 GROVE RD STE M123
PITTSBURGH PA
15236-5602
US

IV. Provider business mailing address

5301 GROVE RD STE M123
PITTSBURGH PA
15236-5602
US

V. Phone/Fax

Practice location:
  • Phone: 412-677-9100
  • Fax: 412-207-2252
Mailing address:
  • Phone: 412-677-9100
  • Fax: 412-207-2252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP037311
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN708650
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: