BRUCE A LUCCAS, MD, LLC (NPI# 1023204963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023204963 |
Entity Type | Organization |
Organization Name | BRUCE A LUCCAS, MD, LLC |
Practice Address |
3805b Spring St Ste 130 Racine WI 53405-1641 |
Practice Telephone | 2626318750 |
Practice Fax Number | 2626318754 |
Mailing Telephone | 2626318750 |
Mailing Fax Number | 2626318754 |
Enumeration Date | 2007-09-24 |
Last Update Date | 2011-05-12 |
Authorized Official Name | PATTY MORENO (OFFICE MANAGER) |
Authorized Official Telephone | 2626318750 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 29473 | WI | Allopathic & Osteopathic Physicians |
Street Address |
3805B SPRING ST STE 130 |
City | RACINE |
State | WI |
Zip Code | 53405-1641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033119276 | John A Martini | Family Medicine | 3805b Spring St, Ste 250, Racine, WI 53405-1641 | 2005-07-29 |
1649574054 | E Bruns Foot and Ankle Sc | Podiatrist | 3805b Spring St, Suite 340, Racine, WI 53405-1641 | 2010-12-28 |
1730353517 | Brian Michael Ames | Emergency Medicine | 3805b Spring St, Ste 230, Racine, WI 53405-1643 | 2008-04-14 |
1689712143 | Harry Herman Lippman | Specialist | 3805b Spring St, Suite 220, Racine, WI 53405-1641 | 2007-02-04 |
1528178563 | Nathalie Anne King | Physician Assistant | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-08-30 |
1508976515 | Michelle Braun | Clinical Neuropsychologist | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-08-30 |
1780694414 | Lawrence Tolson | Internal Medicine | 3805b Spring St, Suite 260, Racine, WI 53405-1641 | 2006-08-08 |
1659380236 | Byung H. Park | Psychiatry & Neurology | 3805b Spring St, Ste 320, Racine, WI 53405-1641 | 2006-08-05 |
1528082534 | Stephen J. Pagano | Psychiatry & Neurology | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-07-26 |
1326061177 | Stephen V. Mawn | Preventive Medicine | 3805b Spring St, Suite 260, Racine, WI 53405-1641 | 2006-07-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
Find all providers in zip 53405 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
1104144781 | Manmeet K Bains | Family Medicine | 3807 Spring Street, Racine, WI 53405-1667 | 2010-05-06 |
1073714127 | Melchor F Vidal Md Pllc | Family Medicine | Corner Rt 3 and 94, Racine, WV 25165 | 2007-05-29 |
1346467883 | Maurice Krashin | Family Medicine | 75 S Vincennes Cir, Racine, WI 53402-3660 | 2007-04-19 |
1407926280 | Chung-yen Philip Hsu | Family Medicine | 4215 Erie St, Suite 626, Racine, WI 53402-2899 | 2006-11-08 |
1033288816 | Northwestern Medical Center Sc | Family Medicine | 1532 S Green Bay Rd, Suite 200, Racine, WI 53406-4410 | 2006-11-07 |
1053341065 | Jennifer J. Brittig | Family Medicine | 2408 4 Mile Rd, Racine, WI 53402-2091 | 2006-07-04 |
1982632022 | Douglas D. Hunter | Family Medicine | 207 5th Street, Racine, OH 45771 | 2006-06-29 |
1992757744 | Gary L Shepherdson | Family Medicine | Mcw & All Saints Health Care System, 1320 Wisconsin Ave., Racine, WI 53403 | 2006-05-17 |
1033119276 | John A Martini | Family Medicine | 3805b Spring St, Ste 250, Racine, WI 53405-1641 | 2005-07-29 |
Find all providers in RACINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.