JAY LUKE LUCAS (NPI# 1467404301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467404301 |
| Entity Type | Individual |
| Full Name | JAY LUKE LUCAS |
| Credential | M.D. |
| Practice Address |
1540 American Dr Florence SC 29505-6072 |
| Mailing Address |
1540 American Drive Florence SC 29505 |
| Practice Telephone | 8433179999 |
| Practice Fax Number | 8433171996 |
| Mailing Telephone | 8433179999 |
| Mailing Fax Number | 8433171996 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9934 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BLUE CROSS BLUE SHIELD | 02-0654505 | 01 |
| RI | CAROLINA CARE PLAN | 10-00541 | 01 |
| SC | GP3611 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447301270 | Jay H Lucas | Plastic Surgery | 280 Fort Sanders West Blvd, Ste 112, Knoxville, TN 37922-3352 | 2007-01-16 |
| Street Address |
1540 AMERICAN DR |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457732166 | Joseph Williamson | Physical Medicine & Rehabilitation | 1540 American Dr, Florence, SC 29505-6072 | 2015-06-18 |
| 1063770931 | Jay L Lucas,md PC | Specialist | 1540 American Dr, Florence, SC 29505-6072 | 2012-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578007837 | Max Keefe | Specialist | 901 W Palmetto St, Florence, SC 29501-4352 | 2016-12-06 |
| 1124486741 | Bianca Deris | Specialist | 1015 Prestwick Ct, Florence, OR 97439-9585 | 2016-02-10 |
| 1831517689 | Thomas M Staley | Specialist | 1622 Caddie Cir, Florence, KY 41042-7033 | 2014-03-30 |
| 1851739551 | Lee Richard Hayne | Specialist | 660 Sweeney Cr. Lp., Florence, MT 59833 | 2013-06-05 |
| 1043521164 | Orachun Sittisuntorn, Md, LLC | Specialist | 514 S Dargan St Ste D, Florence, SC 29506-2552 | 2010-06-23 |
| 1104085034 | Donald Stewart | Specialist | 230 Indian Springs Dr, Florence, AL 35634-2056 | 2008-06-05 |
| 1730358342 | Michelle Renee Angilletta | Specialist | 1525 12th St Ste 2a, Florence, OR 97439-9498 | 2008-02-27 |
| 1881884351 | Sequoia Shelly Warner | Specialist | 2970 Highway 101, Florence, OR 97439-9711 | 2007-07-30 |
| 1255537171 | Pediatric Therapy Specialists, Inc. | Specialist | 7536 Us Hwy 42, Suite 2, Florence, KY 41042 | 2007-06-26 |
| 1619183159 | Diane Kathleen Dressler | Specialist | 1925 W Creek Rd, Florence, VT 05744-9815 | 2007-05-14 |
| Find all providers in FLORENCE | ||||
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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.