JOHN DYLAN LUCK (NPI# 1619332475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619332475 |
| Entity Type | Individual |
| Full Name | JOHN DYLAN LUCK |
| Other Name | J.D. LUCK |
| Practice Address |
5401 Old Court Rd Dept Of Randallstown MD 21133-5103 |
| Mailing Address |
5401 Old Court Rd Randallstown MD 21133-5103 |
| Practice Telephone | 4105212200 |
| Practice Fax Number | 4104967530 |
| Mailing Telephone | 4105212200 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D90135 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Wolfe St, Baltimore, MD 212870005 | 4109555000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710273362 | John Benjamin Luck | Emergency Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2011-06-22 |
| Street Address |
5401 OLD COURT RD DEPT OF |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746231 | Brianne Elizabeth Leaf | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-09-24 |
| 1831695444 | Ahmad Zeineddin | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2018-04-03 |
| 1336684505 | Lifebridge Community Physicians, Inc. | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2016-12-27 |
| 1942652458 | Olubode Olufajo | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2016-07-08 |
| 1962865014 | Franca Kraenzlin | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2016-04-05 |
| 1205221504 | Latoya Silverton | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2015-04-02 |
| 1487048237 | Russell Becker | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2015-03-18 |
| 1962891564 | Nicholas Calotta | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2015-01-20 |
| 1053739185 | Ian Angus Powelson | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2014-04-05 |
| 1447354790 | Northwest Hospital Center, Inc | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-09-08 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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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.