JACK E LUBER (NPI# 1538175187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538175187 |
| Entity Type | Individual |
| Full Name | JACK E LUBER |
| Credential | DPM |
| Practice Address |
425 Salem St Medford MA 02155-3337 |
| Mailing Address |
8 Island Way Andover MA 01810-6043 |
| Practice Telephone | 7819333734 |
| Mailing Telephone | 7819333734 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PD1514 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0334189 | 05 | |
| MA | TUFTS HEALTH CARE | 795450 | 01 |
| MA | BLUE CROSS BLUE SHIELD | Y70615 | 01 |
| Street Address |
425 SALEM ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134260169 | Cambridge Podiatry Network PC | Podiatrist | 425 Salem St, Medford, MA 02155-3337 | 2007-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437339868 | North Atlantic Podiatry, P.C. | Podiatrist | 83 Sheridan Ave, Medford, MA 02155-4042 | 2007-11-14 |
| 1528166485 | Evan Chard Merrill | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2006-09-21 |
| 1013021070 | Foot Health Centers, P.a. | Podiatrist | 25 Jackson Rd, Suite D, Medford, NJ 08055-9220 | 2006-08-18 |
| 1922032960 | Holdermann, Inc | Podiatrist | 490 Murphy Rd, Medford, OR 97504-8144 | 2006-07-10 |
| 1154387272 | Dan Seligman | Podiatrist | Zero Governors Ave, Suite 7, Medford, MA 02155-0001 | 2006-04-26 |
| 1720058522 | Michael F Wooster | Podiatrist | 700-6 Patchogue Yaphank Rd, Medford, NY 11763 | 2006-01-24 |
| 1922009356 | Burlington County Foot & Ankle Assoc, Inc | Podiatrist | 520 Stokes Road, Suite C-5, Medford, NJ 08055 | 2005-08-09 |
| 1467458737 | John L Sherman | Podiatrist | 26 City Hall Mall, Medford, MA 02155-4754 | 2005-06-22 |
| 1609266261 | Louie Lu Shou | Podiatrist | 131 Rte 70 W, Ste 100, Medford, NJ 08055-0805 | 2015-02-03 |
| 1396189585 | Sara El Bashir | Podiatrist | 1641 Route 112, Medford, NY 11763-3663 | 2013-04-18 |
| Find all providers in MEDFORD | ||||
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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.