DR. NICOLE V LUCAS (NPI# 1073042776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073042776 |
| Entity Type | Individual |
| Full Name | DR. NICOLE V LUCAS |
| Credential | MD |
| Practice Address |
230 N Broad St Philadelphia PA 19102-1121 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157627000 |
| Mailing Telephone | 2157075030 |
| Mailing Fax Number | 2157073494 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD469605 | PA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MT213924 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 N Broad St, Philadelphia, PA 191405189 | 2157075030 | 2157073494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962785998 | Nicole Darcel Lucas | Pharmacist | 3490 Northrise Dr, Las Cruces, NM 88011-7295 | 2011-09-26 |
| 1043513377 | Nicole Shirrie Lucas | Licensed Practical Nurse | 4635 E 131st St, #211, Garfield Heights, OH 44105-7174 | 2010-12-08 |
| 1750927497 | Nicole Lucas | Registered Nurse | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1528524337 | Nicole Anna Lucas | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2019-02-17 |
| 1912481433 | Nicole Marie Lucas | Behavior Technician | 1363 Douglas Dr, Traverse City, MI 49696-8980 | 2018-09-20 |
| Street Address |
230 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987854 | Ira R Stark | Radiology | 230 N Broad St, Philadelphia, PA 19102-1121 | 2005-07-29 |
| 1437793833 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-10-30 |
| 1780246124 | Danielle Nicole Melisiotis | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-07-06 |
| 1932761483 | Willaim Jorland Sierraalta | Surgery | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-07-05 |
| 1427610237 | Mark William Vanderland | Internal Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-07-01 |
| 1174184386 | Jonathan Maw | Radiology | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-27 |
| 1013578194 | Christi Gill | Family Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-27 |
| 1619538162 | Hrisi Gueorguieva | Family Medicine | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-06-25 |
| 1124689674 | Amir Yusef Abdulhay | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-25 |
| 1477114940 | Erin Elizabeth Hassel | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1023515384 | Lisa Michelle Friedland | Emergency Medicine | 1020 Sansom St, Suite 1651b, Philadelphia, PA 19107 | 2018-04-11 |
| 1326543034 | Daniel Du Pont | Emergency Medicine | 3400 Civic Center Blvd Bldg 421, Philadelphia, PA 19104 | 2018-03-26 |
| 1053827485 | Prohealth Leaders LLC | Emergency Medicine | 9963 Bustleton Ave, Philadelphia, PA 19115-1557 | 2017-12-21 |
| 1841729340 | Mark Ramzy | Emergency Medicine | 230 North Broad St, Hahnemann University Hospital, Philadelphia, PA 19102 | 2017-06-08 |
| 1871020347 | Benjamin Ariel Bloom | Emergency Medicine | 1316 W Ontario St Fl 10, Philadelphia, PA 19140-5220 | 2017-05-16 |
| 1730575283 | Elaine Smith | Emergency Medicine | 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 | 2015-04-11 |
| 1295120251 | Stephen Hallisey | Emergency Medicine | 3400 Spruce St Hospital of The University of Pa, Department of Emergency Medicine Ground Floor Ravdin, Philadelphia, PA 19104-4238 | 2015-04-06 |
| 1831505254 | Gerald Whelan | Emergency Medicine | 39 Summit St, Philadelphia, PA 19118-2832 | 2014-07-07 |
| 1679987374 | John Benjamin | Emergency Medicine | 245 N. 15th Street, Philadelphia, PA 19102 | 2014-06-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on DR. NICOLE V LUCAS.
| 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.