DR. MATTHEW L LUKENS (NPI# 1932299732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932299732 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW L LUKENS |
| Credential | MD |
| Practice Address |
802 N Riverside Rd Suite 200 Saint Joseph MO 64507-9794 |
| Mailing Address |
802 N Riverside Rd Ste 200 Saint Joseph MO 64507-2553 |
| Practice Telephone | 8162716666 |
| Practice Fax Number | 8162711300 |
| Mailing Telephone | 8162716666 |
| Mailing Fax Number | 8162711300 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2004009702 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208994400 | 05 | |
| KS | 200264130A | 05 | |
| MO | RR MEDICARE | P00153146 | 01 |
| Street Address |
802 N RIVERSIDE RD SUITE 200 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235116625 | William A. Dodson | Physical Medicine & Rehabilitation | 802 N Riverside Rd, Suite 150, Saint Joseph, MO 64507-9794 | 2005-12-27 |
| 1972968428 | Denise Dawkins | Nurse Practitioner | 802 N Riverside Rd, Ste. 210, Saint Joseph, MO 64507-2502 | 2015-12-29 |
| 1467839845 | Nicole O'hare | Nurse Practitioner | 802 N Riverside Rd, Ste. 210, Saint Joseph, MO 64507-2502 | 2015-05-05 |
| 1528333184 | Tracy Lynn Howery | Nurse Practitioner | 802 N Riverside Rd, Ste. 130, Saint Joseph, MO 64507-2502 | 2012-03-15 |
| 1174830103 | Catherine Ann Partamian | Psychologist | 802 N Riverside Rd, Suite 315, Saint Joseph, MO 64507-2502 | 2010-09-13 |
| 1881859627 | Heartland Regional Medical Center | Radiology | 802 N Riverside Rd, Ste 150, Saint Joseph, MO 64507-2502 | 2008-07-22 |
| 1417154063 | Emily Claire Larson | Internal Medicine | 802 N Riverside Rd, Suite 140, Saint Joseph, MO 64507-2502 | 2007-06-28 |
| 1598887408 | Eric G Sollars, Md | Specialist | 802 N Riverside Rd, Suite 330, Saint Joseph, MO 64507-9794 | 2007-04-04 |
| 1457441339 | Timothy C. Hodges | Surgery | 802 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-9794 | 2006-10-13 |
| 1841382744 | Eric G Sollars | Specialist | 802 N Riverside Rd, Suite 330, Saint Joseph, MO 64507-9794 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841654423 | Nellestein Vein Institute LLC | Surgery | 1341 Village Dr, Saint Joseph, MO 64506-2457 | 2016-04-08 |
| 1457441339 | Timothy C. Hodges | Surgery | 802 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-9794 | 2006-10-13 |
| 1366434987 | Kourosh Baghelai | Surgery | 2500 Niles Rd Ste 6, Saint Joseph, MI 49085-3268 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1366771446 | Daniel E. Cox, M.d., LLC | Surgery | 1400 Hwy. 61 South, Suite 240, Festus, MO 63028 | 2009-12-18 |
| 1659526689 | Vp Medical, LLC | Surgery | 3308 W Edgewood Dr Ste D, Jefferson City, MO 65109-6891 | 2008-11-18 |
| 1508053026 | Noks Corporation PC | Surgery | 1147b E Gannon Dr, Festus, MO 63028-2611 | 2007-09-28 |
| 1275753923 | George Fraklin Rendleman Jr. | Surgery | 12723 Topping Acres, St Louis, MO 63131 | 2007-04-26 |
| 1346467420 | Marcus A. Barber | Surgery | 2750 Clay Edwards Dr Ste 304, Kansas City, MO 64116-3256 | 2007-04-19 |
| 1841367380 | Kent James Blanke | Surgery | 1408 Crown Drive, Kirksville, MO 63501 | 2006-11-29 |
| 1801974787 | Edwin Tutt Long | Surgery | 4550 Warwick Blvd, Ste # 1209, Kansas City, MO 64111-7725 | 2006-11-01 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
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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.