LUDY LUKOSE (NPI# 1023258274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023258274 |
| Entity Type | Individual |
| Full Name | LUDY LUKOSE |
| Credential | M.D |
| Practice Address |
407 East Maple Street Suite 101 Cumming GA 30040 |
| Practice Telephone | 7708886697 |
| Practice Fax Number | 7708886698 |
| Mailing Telephone | 7708886697 |
| Mailing Fax Number | 7708886698 |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2014-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 070217 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003137069A | 05 |
| Street Address |
407 EAST MAPLE STREET SUITE 101 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235590472 | Valley Wellness Center, LLC | Internal Medicine | 104 Colony Park Dr Ste 300, Cumming, GA 30040-2772 | 2016-03-16 |
| 1285948000 | Sofian Jamal Al-khatib | Internal Medicine | 3430 Silver Lake Ct, Cumming, GA 30041-2835 | 2010-08-04 |
| 1851552053 | Brandee Nicole Urrutia | Internal Medicine | 4335 Browns Bridge Road, Suite 1, Cumming, GA 30041-4554 | 2008-06-19 |
| 1144480310 | Omar T Khan | Internal Medicine | 102 Mary Alice Park Rd Ste 805, Cumming, GA 30040-2664 | 2008-06-11 |
| 1770783417 | Avantika M Patel | Internal Medicine | 1400 Northside Forsyth Drive Suite 350, Kaiser Permanente Forsyth, Cumming, GA 30041 | 2007-07-20 |
| 1407055999 | Dana Joel Eilen | Internal Medicine | 3970 Deputy Bill Cantrell Memorial Dr, Cumming, GA 30040 | 2007-07-13 |
| 1982790531 | Marianne Sanchez | Internal Medicine | 950 Sanders Road, Cumming, GA 30041-5960 | 2006-10-04 |
| 1427068501 | Renata H Batko | Internal Medicine | 634 Peachtree Parkway, Suite 200, Cumming, GA 30041 | 2006-08-09 |
| 1891719704 | Claude E. Mouledous Jr. | Internal Medicine | 3575 Falling Leaf Ln, Cumming, GA 30041-2084 | 2006-07-26 |
| 1447285770 | Daulton E Todd Jr. | Internal Medicine | 418 Pirkle Ferry Rd, Suite 103, Cumming, GA 30040-2529 | 2006-07-12 |
| Find all providers in CUMMING | ||||
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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.