BRUCE A LUCCAS, MD, LLC


Address: 3805b Spring St, Ste 130, Racine, WI 53405-1641
Phone: 2626318750

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 29473 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 3805B SPRING ST
STE 130
City RACINE
State WI
Zip Code 53405-1641

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City RACINE
Zip Code 53405

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Dataset Information

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.

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