GERALD WALTER LUCKEY (NPI# 1912943838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912943838 |
| Entity Type | Individual |
| Full Name | GERALD WALTER LUCKEY |
| Credential | MD |
| Practice Address |
336 S 9th St David City NE 68632-2116 |
| Practice Telephone | 4023673193 |
| Practice Fax Number | 4023673261 |
| Mailing Telephone | 4023673193 |
| Mailing Fax Number | 4023673261 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12692 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
336 S 9TH ST |
| City | DAVID CITY |
| State | NE |
| Zip Code | 68632-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457311482 | Butler County Clinic P C | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-03-24 |
| 1003227919 | Joshua Sypal | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2014-05-13 |
| 1922368935 | Robert Austin Daro | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2012-05-23 |
| 1942381710 | Matthew Paul Summers | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-10-18 |
| 1699705004 | Victor James Thoendel | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-07-03 |
| 1508896911 | Mark Vaughn Carlson | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-07-03 |
| 1942251715 | Leah J Hays | Physician Assistant | 336 S 9th St, David City, NE 68632-2116 | 2006-05-15 |
| 1922061704 | Robert R Rauner | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497237424 | Carrie Lynn Thoendel | Registered Nurse | 750 D St, David City, NE 68632 | 2018-09-06 |
| 1558722231 | Jessica Creal | Speech-Language Pathologist | 826 E Street, David City, NE 68632 | 2016-03-09 |
| 1285050559 | Hannah Wurl | Occupational Therapist | 372 S 9th Street, David City, NE 68632 | 2014-03-11 |
| 1699071092 | Jerry Brian Wessling | Dentist | 597 'e' Street, David City, NE 68632 | 2011-02-02 |
| 1528213733 | Diana Lynne Novotny | Occupational Therapy Assistant | 646 East I, David City, NE 68632 | 2008-12-02 |
| 1104823046 | St. Josephs Villa Inc | Skilled Nursing Facility | 927 N 7th St, David City, NE 68632 | 2005-07-07 |
| 1487135554 | Kristine Nicole Polacek | Physical Therapist | 372 S 9th St, David City, NE 68632 | 2018-08-27 |
| 1710530704 | Terry Michael Adair | Specialist/Technologist | 675 O St, David City, NE 68632-1062 | 2019-07-19 |
| 1497085500 | Michelle R Taylor | Occupational Therapist | 1382 N 9th St, David City, NE 68632-1128 | 2010-01-12 |
| 1982061388 | Katherine Byrkit | Physical Therapist | 1296 N 10th St, David City, NE 68632-1170 | 2016-01-15 |
| Find all providers in zip 68632 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942239421 | Jo Anna Witter | Family Medicine | 358 S 10, David City, NE 68632-2116 | 2006-06-30 |
| 1457311482 | Butler County Clinic P C | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-03-24 |
| 1003227919 | Joshua Sypal | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2014-05-13 |
| 1922368935 | Robert Austin Daro | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2012-05-23 |
| 1942381710 | Matthew Paul Summers | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-10-18 |
| 1699705004 | Victor James Thoendel | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-07-03 |
| 1508896911 | Mark Vaughn Carlson | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-07-03 |
| 1922061704 | Robert R Rauner | Family Medicine | 336 S 9th St, David City, NE 68632-2116 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1891313706 | Me Urgent Care Nebraska, Inc | Family Medicine | 28800 Ida Cir, Valley, NE 68064-8017 | 2020-07-07 |
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
| City | DAVID CITY |
| Zip Code | 68632 |
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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.