DR. LUKE STEPHAN ERDOES


Address: 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584
Phone: 4234347400

DR. LUKE STEPHAN ERDOES (NPI# 1558355511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558355511
Entity Type Individual
Full Name DR. LUKE STEPHAN ERDOES
Credential M.D.
Practice Address 2 Professional Park Dr Ste 11
Johnson City
TN 37604-6584
Practice Telephone 4234347400
Practice Fax Number 4234347401
Mailing Telephone 4234347400
Mailing Fax Number 4234347401
Enumeration Date 2005-09-07
Last Update Date 2019-04-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
34700 TN Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
116955 AK Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
8186235-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1558355511 05
TN 3860965 05
BCBS OF TN 4082499 01
CIGNA 8856383 01
RR MEDICARE P00136769 01
TN Q030493 05
JDH TN0181 01

Office Location

Street Address 2 PROFESSIONAL PARK DR STE 11
City JOHNSON CITY
State TN
Zip Code 37604-6584

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952896342 Melanie Hagerman Nurse Practitioner 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584 2018-06-27
1043739881 Blue Ridge Medical Mangement Corporation Surgery 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584 2017-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760471056 Steven Paul Hopkins Surgery 2428 Knob Creek Rd Ste 201, Johnson City, TN 37604-2396 2005-10-19
1043739881 Blue Ridge Medical Mangement Corporation Surgery 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584 2017-09-13
1114340445 Blue Ridge Medical Management Surgery 310 N State of Franklin Rd, Suite 101b, Johnson City, TN 37604-6008 2014-01-22
1841499191 Heesuk Richard Yoon Surgery 2428 Knob Creek Rd Ste 201, Johnson City, TN 37604-2396 2007-07-17
1154381713 Cardiopulmonary Surgical Consultants PC Surgery 310 N State of Franklin Rd, Ste 101, Johnson City, TN 37604 2006-03-27
1295724284 James Robert Evans Surgery 310 N State of Franklin Rd, Suite 101b, Johnson City, TN 37604-6008 2005-10-21
1124012109 Anthony Katras Surgery 325 N State of Franklin Rd, 3rd Floor, Johnson City, TN 37604-6062 2005-09-07
1760482863 Leonard Anderson Surgery 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 2005-07-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215548375 Center for Vein Restoration Tn Pllc Surgery 6005 Park Ave Ste 225b, Memphis, TN 38119-5207 2020-08-12
1972129534 Aadi, LLC Surgery 7425 Ziegler Rd Ste 101, Chattanooga, TN 37421-4178 2020-06-19
1871002055 Sumner Physician Practices LLC Surgery 225 Big Station Camp Blvd Ste 211, Gallatin, TN 37066-8466 2017-09-20
1679969729 Jeffrey Thomas Johnston Surgery 910 Madison Ave Fl 2, Memphis, TN 38103-3403 2015-04-15
1811330830 Patrick Yu Surgery 1222 Trotwood Ave Ste 211, Columbia, TN 38401-6405 2013-04-09
1578838629 Karen Parks Rudolph Surgery 2108 E 3rd Street, Chattanooga, TN 37404-1622 2012-03-21
1588857148 James Eric Gardner, Md Surgery 400 Market Blvd, Collierville, TN 38017-6516 2007-08-27
1437356482 Vascular Wellness Center Inc Surgery 1720 West Ave Ste 103, Crossville, TN 38555-6066 2007-07-02
1528289808 Shaun Michael Stickley Surgery 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 2007-05-02
1164598876 Patrick W Meacham Surgery 353 New Shackle Island Rd Suite 348c, Hendersonville, TN 37075 2006-11-27
Find all providers with the same taxonomy

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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