DR. DEDRICK SPENCER LUIKENS (NPI# 1851374144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851374144 |
| Entity Type | Individual |
| Full Name | DR. DEDRICK SPENCER LUIKENS |
| Credential | D.O. |
| Practice Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Mailing Address |
4041 Estate Judiths Fancy Christiansted VI 00820-4446 |
| Practice Telephone | 8024475300 |
| Mailing Telephone | 8502217832 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2018-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 032.0101692 | VT | Allopathic & Osteopathic Physicians |
| Street Address |
100 HOSPITAL DR |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
| 1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
| 1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
| 1720625833 | William B Smith | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5013 | 2019-12-09 |
| 1528613155 | Christine Lynne Burke | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-08-09 |
| 1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
| 1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
| 1891276374 | Tracie Ann Crawford | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-08-23 |
| 1922585231 | Mark Epler | Physical Therapist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-20 |
| 1619453958 | Mary Campbell | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821484775 | Erin Margaret Duquette | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2015-04-07 |
| 1083900229 | Trevor Carl Neal | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2011-06-27 |
| 1831207901 | Steven Lefebvre | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-08-28 |
| 1770505190 | Martin B Hammond | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-24 |
| 1811919236 | Thomas E Jager | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-24 |
| 1952322737 | Jane L Uva | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-21 |
| 1710908538 | Jeffery A Yucht | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-21 |
| 1932120755 | Mark J Zimpfer | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-21 |
| 1104846641 | Daniel E Perregaux | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-20 |
| 1851319222 | Adam R Cohen | Emergency Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-17 |
| Find all providers in BENNINGTON | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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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.