DR. DAVID MICHAEL LUSTIG (NPI# 1093896367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093896367 |
| Entity Type | Individual |
| Full Name | DR. DAVID MICHAEL LUSTIG |
| Credential | M.D. |
| Practice Address |
13933 17th St Suite 201 Dade City FL 33525-4604 |
| Practice Telephone | 3524374505 |
| Practice Fax Number | 3524374709 |
| Mailing Telephone | 3524374505 |
| Mailing Fax Number | 3524374709 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME 128530 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA PREMIER | 7503962 | 01 |
| VA | 007503962 | 05 | |
| VA | TRICARE | 542025035 | 01 |
| VI | CIGNA | 0380470 | 01 |
| VA | ANTHEM | 434494 | 01 |
| VA | MDIPA | 2127380 | 01 |
| GA | RAILROAD MEDICARE | 340018922 | 01 |
| VA | AETNA | 3433588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932286424 | David Alan Lustig | Psychologist | 17741 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2006-11-01 |
| 1821198532 | David P Lustig | Dentist | 30567 Linden Ave, Princess Anne, MD 21853-1129 | 2006-09-23 |
| 1316971252 | David Lustig | Psychiatry & Neurology | 43475 Dalcoma Drive, Ste. 100, Clinton Township, MI 48038 | 2006-07-10 |
| 1215046800 | David W. Lustig | Physician Assistant | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2006-08-29 |
| 1295776557 | David Lustig | Internal Medicine | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2006-06-09 |
| Street Address |
13933 17TH ST SUITE 201 |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171786 | Lee Jay Grossbard | Surgery | 13933 17th St, Suite 200, Dade City, FL 33525-4604 | 2005-08-16 |
| 1467802892 | Mark Christopher Roque | Nurse Practitioner | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2016-06-16 |
| 1043543655 | Dade City Urgent Care Center Pllc | Clinic/Center | 13933 17th St, Dade City, FL 33525-4603 | 2009-09-14 |
| 1023238284 | Mcbath Medical Center Pa | Family Medicine | 13933 17th St, Ste: 101, Dade City, FL 33525-4603 | 2007-04-27 |
| 1003848359 | Pasco Hernando Hma Physician Management, LLC | Internal Medicine | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2006-07-07 |
| 1508852351 | Carl S Werne | Emergency Medicine | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID MICHAEL LUSTIG.
| 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.