DR. LUCAS GEORGANDELLIS (NPI# 1730132580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730132580 |
| Entity Type | Individual |
| Full Name | DR. LUCAS GEORGANDELLIS |
| Credential | M.D. |
| Practice Address |
1 Vine St Gallipolis OH 45631-1027 |
| Practice Telephone | 7406454237 |
| Mailing Telephone | 7406454237 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 21526 | WV | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 35-08-2167 | OH | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
21526 | WV | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35-08-2167 | OH | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
21526 | WV | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35-08-2167 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNISON MEDICAID | 000000185210 | 01 |
| OH | OH BUREAU WORKERS COMP | 268597383-00 | 01 |
| OH | MOLINA MEDICAID | 2400708 | 01 |
| ANTHEM BCBS | 000000272527 | 01 | |
| NPI | 1730132580 | 01 | |
| OH | CARESOURCE MEDICAID | 310917085118 | 01 |
| WV | 2004717000 | 05 | |
| RR MEDICARE | P00006241 | 01 | |
| MOUNTAIN STATE BCBS | 001714146 | 01 |
| Street Address |
1 VINE ST |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760575658 | Gerald E Vallee | Internal Medicine | 1051 4th Avenue, Gallipolis, OH 45631-1562 | 2006-10-02 |
| 1689625329 | Howard E. Linder | Internal Medicine | 1051 4th Ave, Gallipolis, OH 45631-1612 | 2006-05-15 |
| 1124569330 | Joseph Hossein Esmaeili | Internal Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-03-20 |
| 1215353388 | Jennifer M. Calafato | Internal Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2014-03-12 |
| 1962631465 | Aderonke Olakunbi Oninku | Internal Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2009-07-07 |
| 1881829349 | Skyler Tate Smith | Internal Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2009-05-27 |
| 1144486515 | Samia Yaqub Kanooz | Internal Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2008-08-05 |
| 1679783658 | Arlie Campbell Wheeler IIi | Internal Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2007-05-22 |
| 1356423016 | Theresa Sola Simon | Internal Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-10-20 |
| 1538196662 | Mark A. Walker | Internal Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-06-26 |
| Find all providers in GALLIPOLIS | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
Please comment or provide details below to improve the information on DR. LUCAS GEORGANDELLIS.
| 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.