LUKAS JANTAC (NPI# 1750507463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750507463 |
| Entity Type | Individual |
| Full Name | LUKAS JANTAC |
| Credential | M.D. |
| Practice Address |
110 Fields Dr Suite A Sanford NC 27330-5072 |
| Mailing Address |
205 Page Road Pinehurst NC 28374-8798 |
| Practice Telephone | 9197779005 |
| Practice Fax Number | 9197081550 |
| Mailing Telephone | 9102955511 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
200400884 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5906881 | 05 | |
| NC | BCBS NC | 145J1 | 01 |
| NC | MEDCOST PROVIDER NUMBER | 199499 | 01 |
| NC | FIRSTCAROLINACARE # | FH2967430 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Fields Dr, Suite A, Sanford, NC 273305072 | 9197779005 | 9197081550 |
| Street Address |
110 FIELDS DR SUITE A |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740237767 | Sanford Cardiology, Pllc | Clinic/Center | 110 Fields Dr, Suite A, Sanford, NC 27330-5072 | 2006-05-27 |
| 1578992541 | Unc Physicians Netwrok, LLC | Internal Medicine | 110 Fields Dr, Suite #a, Sanford, NC 27330-5066 | 2013-11-10 |
| 1609971068 | Michael Joseph Gillespie | Internal Medicine | 110 Fields Dr, Suite A, Sanford, NC 27330-5066 | 2006-09-13 |
| 1700827177 | Mahmoud Khadir Atieh | Internal Medicine | 110 Fields Dr, Suite A, Sanford, NC 27330-5072 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1225541428 | Central Florida Cardiovascular Excellence, LLC | Internal Medicine | 4901 International Pkwy, Ste 1031, Sanford, FL 32771-8603 | 2017-11-09 |
| 1629303540 | Sanford Cardiology, Pllc | Internal Medicine | 110 Fields Drive, Suite A, Sanford, NC 27330-5072 | 2009-10-09 |
| 1396923793 | Rajiv S Swamy | Internal Medicine | 709 Wicker St Ste A, Sanford, NC 27330-4168 | 2008-02-07 |
| 1073546255 | Private Diagnostic Clinic, Pllc | Internal Medicine | 1309 Carthage St, Sanford, NC 27330-8984 | 2006-07-09 |
| 1215598032 | Valley Heart Rhythm, Pa | Internal Medicine | 2609 S Horner Blvd, Sanford, NC 27332-8032 | 2019-06-24 |
| 1992286009 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 143, Sanford, NC 27330 | 2018-08-27 |
| 1164952446 | Cardinal Heart & Vascular, Pllc | Internal Medicine | 2609 S Horner Blvd, Sanford, NC 27332-8032 | 2017-06-19 |
| 1508305293 | Dlp Central Carolina Medical Group LLC | Internal Medicine | 1309 Carthage St, Sanford, NC 27330-8984 | 2017-02-15 |
| 1790074870 | Joshua Vega | Internal Medicine | 1301 Central Dr, Sanford, NC 27330 | 2011-03-29 |
| 1518174747 | Hemant Solomon | Internal Medicine | 1301 Central Dr, Sanford, NC 27330-4159 | 2007-05-17 |
| Find all providers in SANFORD | ||||
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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.