DR. VICENTE CO LUCIANO JR. (NPI# 1407941339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407941339 |
Entity Type | Individual |
Full Name | DR. VICENTE CO LUCIANO JR. |
Credential | M.D. |
Practice Address |
840 N Oak Ave Ruleville MS 38771-3227 |
Practice Telephone | 7164355044 |
Practice Fax Number | 7166465044 |
Mailing Telephone | 6627562711 |
Mailing Fax Number | 6627560306 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2012-03-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
07030 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | RR MEDICARE | 300120497 | 01 |
MS | 0016261 | 05 |
Street Address |
840 N OAK AVE |
City | RULEVILLE |
State | MS |
Zip Code | 38771-3227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699717249 | Samuel Dean Seeley | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-06-11 |
1023627122 | Kristen Cassidy Scott | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-07-24 |
1487271201 | Lajarvis Antwon Lewis | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-06-26 |
1184275133 | Kathryn Meredith James | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771 | 2019-09-21 |
1629627542 | Hannah Schlatter Farmer | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-09-04 |
1386203354 | Robert F Cox | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-06-12 |
1861058901 | Jane Critz Long | Dietitian, Registered | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-05-14 |
1396208708 | Ambroshia Hope | Registered Nurse | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-04-11 |
1013489756 | Cody Elizabeth Field | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-12-19 |
1649765223 | Nikita Marie Calvin | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
1548581184 | North Sunflower Medical Center | Clinic/Center | 101 Floyce St., Ruleville, MS 38771 | 2010-06-17 |
1649442484 | Brooks Marlow Rizzo | Nurse Practitioner | 840a N. Oak Ave., Ruleville, MS 38771 | 2008-04-01 |
1427189570 | St. Johns Hospice of Mississippi, Inc. | Hospice, Inpatient | 106 Ruby Avenue, Ruleville, MS 38771 | 2007-03-08 |
1962444018 | Sandanna Hospice, Inc. | Hospice Care, Community Based | 105 Floyce Street, Ruleville, MS 38771-0365 | 2006-06-12 |
1376612895 | North Sunflower Medical Center | Durable Medical Equipment & Medical Supplies | 820 N Oak Ave, Ruleville, MS 38771-3215 | 2006-11-07 |
1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
1255405205 | Ruleville Nursing and Rehabiliation Center, LLC | Skilled Nursing Facility | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2006-11-20 |
1003280702 | Leah Cori Gregory-johnson | Speech-Language Pathologist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-11-18 |
1124498340 | Tajda Cooper | Occupational Therapist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-09-30 |
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Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790720779 | Jason Kendell Morris | Radiology | 618 Frederick Dr, Cleveland, MS 38732-2006 | 2006-06-16 |
1811229057 | Leena Pande | Radiology | 14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 | 2010-02-12 |
1033318985 | Sunder Jagwani Md Pa | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-07-12 |
1902000375 | Simpson Community Healthcare, Inc. | Radiology | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2007-06-12 |
1790993749 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
1326256371 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
1487770152 | Oktibbeha County Hospital | Radiology | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-22 |
1457491383 | Sunder H Jagwani | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-08 |
1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
1679583728 | William Douglas Routh | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2006-08-09 |
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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.