DR. MATTHEW ADAM LUCKS (NPI# 1215905724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215905724 |
Entity Type | Individual |
Full Name | DR. MATTHEW ADAM LUCKS |
Credential | MD |
Practice Address |
700 S Washington St Ste 330 Alexandria VA 22314 |
Mailing Address |
700 S Washington St Ste 330 Alexandria VA 22314-4252 |
Practice Telephone | 7037177780 |
Practice Fax Number | 7037177781 |
Mailing Telephone | 7037177780 |
Mailing Fax Number | 7037177781 |
Enumeration Date | 2006-03-09 |
Last Update Date | 2019-06-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101264632 | VA | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A91447 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A914470 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
320 Santa Fe Dr, Suite 204, Encinitas, CA 920245138 | 8584571234 | 8584578653 |
Street Address |
700 S WASHINGTON ST STE 330 |
City | ALEXANDRIA |
State | VA |
Zip Code | 22314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871092585 | Kathleen Fuller | Nurse Practitioner | 700 S Washington St Ste 330, Alexandria, VA 22314-4252 | 2018-02-08 |
1316486012 | Lauren Marie Burford | Nurse Practitioner | 700 S Washington St Ste 330, Alexandria, VA 22314-4252 | 2017-02-15 |
1952773715 | Yvonne Rebecca Pierce | Registered Nurse | 700 S Washington St Ste 330, Alexandria, VA 22314-4252 | 2015-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
Find all providers in zip 22314 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1407482102 | Careclix Inc | Internal Medicine | 206 N Washington St Ste 100, Alexandria, VA 22314-2534 | 2020-03-14 |
1376711325 | Shaila Garg | Internal Medicine | 6651 Kelsey Point Cir, Alexandria, VA 22315-5529 | 2008-02-12 |
1679759658 | Red River Cardiology, LLC | Internal Medicine | 201 4th St Ste 4a, Box 30106, Alexandria, LA 71301-8421 | 2008-01-21 |
1336330992 | Alfred C Myaing Md Pa | Internal Medicine | 2863 Duke St, Alexandria, VA 22314-4512 | 2007-08-07 |
1164404505 | Alfred Chit Myaing | Internal Medicine | 2863 Duke Street, Alexandria, VA 22314 | 2005-11-18 |
1851397467 | Stephen M. Day | Internal Medicine | 4660 Kenmore Ave., Ste 1200, Alexandria, VA 22304-1311 | 2005-06-28 |
1841292091 | Lawrence R. Rubin | Internal Medicine | 4660 Kenmore Ave, Ste 1200, Alexandria, VA 22304-1311 | 2005-06-01 |
1114929247 | Mark P. Tanenbaum | Internal Medicine | 4660 Kenmore Ave Ste 1200, Alexandria, VA 22304-1311 | 2005-06-01 |
1417371899 | Harry Hawthorne M.d. A Professional Medical Corporation | Internal Medicine | 2108 Texas Ave, Suite 3062, Alexandria, LA 71301-3944 | 2014-02-06 |
1891938775 | The Cardiovascular Group, PC | Internal Medicine | 4660 Kenmore Ave, #1200, Alexandria, VA 22304-1313 | 2009-04-08 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22314 |
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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.