DR. LUCAS E WILMORE (NPI# 1215399092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215399092 |
| Entity Type | Individual |
| Full Name | DR. LUCAS E WILMORE |
| Practice Address |
1090 N Ellington Pkwy Ste 102 Lewisburg TN 37091-2227 |
| Mailing Address |
854 W James Campbell Blvd, Suite 303 Columbia TN 38041 |
| Practice Telephone | 9313590019 |
| Mailing Telephone | 9315404255 |
| Mailing Fax Number | 9314904654 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3763 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 101770796 | TN | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4095 American Way Ste 1, Memphis, TN 381188339 | 9012719500 |
| Street Address |
1090 N ELLINGTON PKWY STE 102 |
| City | LEWISBURG |
| State | TN |
| Zip Code | 37091-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780961987 | Shelly Marie Hargrove | Nurse Practitioner | 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091-2227 | 2011-11-16 |
| 1134581549 | Octavia Lawton Graham | Family Medicine | 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091-2227 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1063968345 | Joe Swinney IIi | Case Management | 3756 Tom Littlejohn Rd, Lewisburg, TN 37091 | 2016-08-28 |
| 1396142485 | The Estate of P. Laray Rector | Dentist | 553 W Commerce St, Lewisburg, TN 37091 | 2014-12-04 |
| 1093958092 | Tamara Carolynn Holley | Case Manager/Care Coordinator | 1603 Nashville Highway, Lewisburg, TN 37091 | 2009-04-07 |
| 1285897793 | Jennifer Val Neel | Nurse Practitioner | 329 West Commerce Street, Lewisburg, TN 37091 | 2008-07-03 |
| 1316138639 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1030 War Eagle Drive, Lewisburg, TN 37091 | 2007-08-05 |
| 1568561850 | John Woodson Carter | Dentist | 1085 N Ellington Pkwy, Lewisburg, TN 37091 | 2006-09-22 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1760448500 | Edward D White Jr. | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-04-21 |
| 1548243348 | Air Evac Ems Inc | Ambulance | 1879 Franklin Pike, Lewisburg, TN 37091 | 2005-11-25 |
| Find all providers in zip 37091 | ||||
| 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 |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1679728471 | Nathaniel Harris | Family Medicine | Chestnut Flats Rd, Box 1042, Lewisburg, WV 24901-4042 | 2008-11-20 |
| 1023294600 | Colleen Ann Flaherty | Family Medicine | 4 Snake Road, Bucknell University Ziegler Student Health Center, Lewisburg, PA 17837 | 2008-01-14 |
| 1497944607 | Charles S. Mcclung Sr., Do | Family Medicine | 226 Skylar Dr, Lewisburg, WV 24901-9383 | 2007-10-24 |
| 1154416725 | Kendall L Wilson Jr. | Family Medicine | 409 North Lee Street, Lewisburg, WV 24901-0626 | 2006-10-03 |
| 1942210513 | Jeanne Marie Wahl | Family Medicine | 400 North Jefferson Street, Lewisburg, WV 24901 | 2006-08-08 |
| 1447279807 | John Lawrence Ginsburg | Family Medicine | 55 N 5th St, Lewisburg, PA 17837-1407 | 2006-07-18 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1780609701 | Suzanne Greb | Family Medicine | 7095 Westbranch Highway, Suite 1100, Lewisburg, PA 17837-6808 | 2006-07-12 |
| Find all providers in LEWISBURG | ||||
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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.