DR. LUCAS SAMUEL TEBBE (NPI# 1417519257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417519257 |
| Entity Type | Individual |
| Full Name | DR. LUCAS SAMUEL TEBBE |
| Credential | DPM |
| Practice Address |
7900 Lees Summit Rd Kansas City MO 64139-1236 |
| Mailing Address |
11331 N State Highway V Walnut Grove MO 65770-8412 |
| Practice Telephone | 8164049597 |
| Mailing Telephone | 4179889289 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2019024623 | MO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
7900 LEES SUMMIT RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64139-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746244 | Angela L Barnett | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2005-08-02 |
| 1770183493 | Kaitlyn Suzanne Lickteig | Counselor | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-10-30 |
| 1265059042 | Ryan Tyler Johnson | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-06-29 |
| 1184253676 | Tasfia Ahmed | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-06 |
| 1285263905 | Hai Song Kim | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-04 |
| 1003445990 | Matthew Timothy Myrick | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-03 |
| 1598393720 | Logan Christine Hemme | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1346878493 | Annette K Anwander | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1134757354 | Haley Marie Kertz | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
| 1689202707 | Desztini Howard | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1225122518 | Patricia A Cyrus | Nurse Practitioner | 7900 Lee's Summit Rd, Kansas City, MO 64139 | 2006-10-03 |
| 1831126358 | Megan Marie Despain | Emergency Medicine | 7900 Lee's Summit Road, Truman Medical Center Lakewood, Kansas City, MO 64139 | 2006-06-28 |
| 1427513878 | Kirsten Anne Reilly | Pediatrics | 7900 Lee's Summit Road, Department of Community and Family Medicine, Kansas City, MO 64139 | 2019-02-08 |
| 1275078552 | Elizabeth Liu | Family Medicine | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2016-12-22 |
| 1124355516 | Eric Tsai | Anesthesiology | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2009-11-06 |
| 1487290185 | Hannah E Waight | Registered Nurse | 14001 E 87th St, Kansas City, MO 64139-1117 | 2019-11-18 |
| 1275956658 | Gail Byers | Psychologist | 9701 Leslie Ave, Kansas City, MO 64139-1135 | 2014-01-21 |
| 1821533399 | Courageous Home Care, LLC | In Home Supportive Care | 9609 Hocker St, Kansas City, MO 64139-1150 | 2016-12-19 |
| 1144775834 | Candy Lourens | Dietitian, Registered | 7600 Lees Summit Rd, Kansas City, MO 64139-1233 | 2016-08-23 |
| Find all providers in zip 64139 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1225690068 | Ryan Thomas Jenson | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2019-07-02 |
| 1346736022 | Blake Hale | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2018-07-06 |
| 1003302977 | Dylan Grau | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2018-07-03 |
| 1295256022 | Garrett Willis Nielson | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2017-07-01 |
| 1497106330 | Melissa Journot | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2016-06-22 |
| 1558775270 | Todd W Nielsen | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2014-06-20 |
| 1548557374 | Alex Sabers | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2011-06-30 |
| 1871805325 | Stephanie Louise Bock Jameson | Podiatrist | 1010 Carondelet Dr, Suite 301, Kansas City, MO 64114-4859 | 2010-07-12 |
| 1548586456 | Akeso Medical LLC | Podiatrist | 10015 Nw Ambassador Dr, Suite 100, Kansas City, MO 64153-1364 | 2010-04-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64139 |
Please comment or provide details below to improve the information on DR. LUCAS SAMUEL TEBBE.
| 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.