DR. DONALD CLIFTON LUEBKE (NPI# 1750489407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750489407 |
| Entity Type | Individual |
| Full Name | DR. DONALD CLIFTON LUEBKE |
| Credential | MD |
| Practice Address |
4100 Jerry Murphy Rd Pueblo CO 81001 |
| Practice Telephone | 7195447070 |
| Practice Fax Number | 7195447011 |
| Mailing Telephone | 7195447070 |
| Mailing Fax Number | 7195447011 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
22132 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01221324 | 05 | |
| CO | BLUE SHIELD | LU55481 | 01 |
| Street Address |
4100 JERRY MURPHY RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679144 | Alan Wyche Bickel | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2005-06-20 |
| 1437549359 | Center of Surgical Excellence, LLC | Clinic/Center | 4100 Jerry Murphy Rd, Suite B, Pueblo, CO 81001-1046 | 2015-01-30 |
| 1720386139 | Donald C. Luebke M.d. PC | Durable Medical Equipment & Medical Supplies | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2011-03-09 |
| 1043538382 | Southern Colorado Crna Associates Inc | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001 | 2010-05-11 |
| 1164668216 | Southern Colorado Anesthesia Professional LLC | Anesthesiology | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2008-12-19 |
| 1013117092 | Eric Richter | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2007-07-19 |
| 1225234065 | Elp L.l.c | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2007-06-26 |
| 1487692141 | Donna Lamont | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2006-06-03 |
| 1316942881 | Vicky J Higgins | Nurse Practitioner | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1076 | 2005-06-20 |
| 1104821677 | Richard Lee Brownrigg | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1076 | 2005-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970265 | Peak Plastic Surgery Center, PC | Surgery | 4500 E Cherry Creek South Dr Ste 425, Denver, CO 80246-1518 | 2019-12-23 |
| 1790004612 | Medvacation LLC | Surgery | 2340 Curtis Street Unit #3, Denver, CO 80205 | 2010-05-18 |
| 1346421179 | John R. Burroughs Md PC | Surgery | 300 Garden of The Gods, Ste. 100, Colorado Springs, CO 80907 | 2007-11-20 |
| 1336330653 | Dianne C. Leeb | Surgery | 31-n Wildflower Place, Edwards, CO 81632 | 2007-08-05 |
| 1013108299 | Richard Thomas Ethridge | Surgery | 1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 | 2007-08-05 |
| 1891906996 | Thomas William Fawell | Surgery | 26781 E. Clifton Dr., Aurora, CO 80016 | 2007-05-24 |
| 1841322674 | Joyce Aycock | Surgery | 36 Steele St Ste 200, Denver, CO 80206-5710 | 2007-03-09 |
| 1811022239 | Steven Lee Snively | Surgery | 601 E Hampden Ave Ste 200, Englewood, CO 80113-2788 | 2007-02-23 |
| 1437231982 | Christine Maria Rodgers | Surgery | 4600 Hale Pkwy Ste 330, Denver, CO 80220-4000 | 2006-10-20 |
| 1871675314 | Michael Charles Bateman | Surgery | 4700 Hale Pkwy Ste 520, Denver, CO 80220-4053 | 2006-10-20 |
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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.