DR. DANIEL N LUCAS (NPI# 1417905522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417905522 |
| Entity Type | Individual |
| Full Name | DR. DANIEL N LUCAS |
| Credential | M.D. |
| Practice Address |
11209 N Tatum Blvd Phoenix AZ 85028-3091 |
| Mailing Address |
Po Box 14687 Scottsdale AZ 85267-4687 |
| Practice Telephone | 6022488002 |
| Practice Fax Number | 6022488399 |
| Mailing Telephone | 4809918100 |
| Mailing Fax Number | 4809921028 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
19560 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME139580 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 1Z7049 | 01 |
| AZ | AHCCCS | 002189 | 01 |
| AZ | BCBS | AZ0324990 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497928758 | Daniel Lewis Lucas | Counselor | 1059 Azalea Pointe Dr, Port Orange, FL 32129-4100 | 2008-04-08 |
| 1013038538 | Daniel R Lucas | Hearing Instrument Specialist | 34 W South St, Uniontown, PA 15401-3424 | 2007-04-02 |
| 1710237862 | Daniel Lee Lucas | Pharmacist | 2801 Louisville Ave, Monroe, LA 71201-6655 | 2012-09-17 |
| 1326075086 | Daniel M. Lucas | Radiology | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2006-06-27 |
| Street Address |
11209 N TATUM BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011713 | Thomas W Bauch | Family Medicine | 11209 N Tatum Blvd, 175, Phoenix, AZ 85028-3091 | 2005-08-29 |
| 1750837050 | Jennifer Billiard | Social Worker | 11209 N Tatum Blvd, #260, Phoenix, AZ 85028-6025 | 2016-08-28 |
| 1063861060 | Matthew Wisehart | Physical Therapist | 11209 N Tatum Blvd, Ste B-120, Phoenix, AZ 85028-3091 | 2016-06-09 |
| 1861862989 | Jennifer Anne Billingsley | Nurse Practitioner | 11209 N Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2015-10-01 |
| 1467876524 | Melisa Ann Curry | Physical Therapist | 11209 N Tatum Blvd, Ste B-120, Phoenix, AZ 85028-3091 | 2014-02-10 |
| 1114267887 | Allison M Gaylor | Nurse Practitioner | 11209 N Tatum Blvd, Suite 180, Phoenix, AZ 85028-3091 | 2013-02-18 |
| 1598011785 | Jessica Lynn Giddings | Nurse Practitioner | 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-3091 | 2012-07-25 |
| 1518119692 | Joanne L Schlesinger | Nurse Practitioner | 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-3091 | 2008-10-21 |
| 1295984987 | Sonya A Bladow | Chiropractor | 11209 N Tatum Blvd, Ste 140, Phoenix, AZ 85028-3091 | 2008-09-17 |
| 1114182888 | Rakesh Kumar Bagai | Internal Medicine | 11209 N Tatum Blvd, #260, Phoenix, AZ 85028-3091 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| 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 |
|---|---|---|---|---|
| 1134258866 | Az Mobile Imaging LLC | Radiology | 10240 W. Indian School Rd, Ste 155, Phoenix, AZ 85037-5906 | 2007-03-06 |
| 1568795532 | District Medical Group, Inc | Radiology | 2601 E Roosevelt St, Radiology, Phoenix, AZ 85008-4973 | 2009-09-09 |
| 1235398942 | Anjali Roy | Radiology | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2008-06-06 |
| 1336174903 | Nicole E Stovall | Radiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-07-12 |
| 1124051545 | Cheryl Grandone | Radiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-07-09 |
| 1013965441 | Michael D Rosellini | Radiology | 11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 | 2006-05-05 |
| 1689622649 | Arthur B Radow | Radiology | 11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 | 2006-05-04 |
| 1558329706 | Eric A Vens | Radiology | 11209 N Tatum Blvd, Suite 110, Phoenix, AZ 85028-3091 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1902030166 | Corinne Denise Strickland | Radiology | 4350 E Havasu Rd, Tucson, AZ 85718-2518 | 2009-05-04 |
| 1508039793 | Stephen Farrell Albert | Radiology | 6242 E Catesby Rd, Paradise Valley, AZ 85253-3507 | 2008-04-08 |
| 1699783514 | David J Cohen | Radiology | 4300 N Miller Rd Ste 122, Scottsdale, AZ 85251 | 2006-08-04 |
| 1730113903 | Ayad K Agha | Radiology | 3120 Willow Creek Rd Unit 100, Prescott, AZ 86301-6852 | 2006-07-11 |
| 1437101946 | Paul Ray Strautman | Radiology | 677 N. Wilmot Road, Tucson, AZ 85711 | 2006-05-16 |
| 1871550384 | Regina A Robinson-noble | Radiology | 4475 E Valley Vista Lane, Paradise Valley, AZ 85253 | 2006-04-27 |
| 1124099213 | Jae Koul Kim | Radiology | 4729 E Sunrise Dr # 315, Tucson, AZ 85718-4534 | 2006-01-28 |
| 1538130877 | N. Judge King IIi | Radiology | 6370 E Miramist Pl, Tucson, AZ 85750-1314 | 2006-01-26 |
| 1881680122 | Arizona Institute of Medicine and Surgery | Radiology | 3636 Stockton Hill Road, Kingman, AZ 86409 | 2005-09-22 |
| Find all providers with the same taxonomy | ||||
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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.