Jackie A Lucas (NPI# 1003846064, PAC ID# 0941302871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1003846064 |
PAC ID by PECOS | 0941302871 |
Professional Enrollment ID | I20070223000586 |
Full Name | Jackie A Lucas |
Organization Legal Name | EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC |
Address |
1000 Blythe Blvd Charlotte NC 28203-5812 |
Phone Number | 7043552000 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 2769444207 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
Address | Phone | Organization |
---|---|---|
1000 Blythe Blvd, Charlotte, NC 28203-5812 | 7043552000 | EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC |
1025 Morehead Medical Dr, Suite 450, Charlotte, NC 28204-2975 | 7044467800 | EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC |
7810 Providence Rd, Suite 105, Charlotte, NC 28226-2987 | 7044467800 | EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC |
Organization Legal Name | EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary K Whitten | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1025 Morehead Medical Dr, Suite 450, Charlotte, NC 28204-2975 |
Stephen J Blaha | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1025 Morehead Medical Dr, Suite 450, Charlotte, NC 28204-2975 |
Daphne Louise Capek | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1025 Morehead Medical Dr, Suite 450, Charlotte, NC 28204-2975 |
Astrid G Jain | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1025 Morehead Medical Dr, Suite 450, Charlotte, NC 28204-2975 |
Jerry F. Matkins Jr. | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Jennifer Ann Kalich | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1025 Morehead Medical Dr, Suite 450, Charlotte, NC 28204-2975 |
Joshua C Counihan | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Emily E Hutcheson | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1025 Morehead Medical Dr, Suite 450, Charlotte, NC 28204-2975 |
Kaitlin E Obrien | Physician Assistant | Eastover Obstetrics and Gynecology Associates Inc | 6030 W Hwy 74, Suite B, Indian Trail, NC 28079-3469 |
Carolyn D Eskridge | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Street Address |
1000 BLYTHE BLVD |
City | CHARLOTTE |
State | NC |
Zip | 28203-5812 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristina Jasmin Harrell | Pediatric Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Amanda M Sebring | Pediatric Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
William N Lane Jr. | Critical Care (intensivists) | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Lynn A Boardman | Obstetrics/gynecology | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Shibin T Jacob | Pulmonary Disease | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Kevin R Kasten | Colorectal Surgery (proctology) | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Shakuntala Mathapati | Hospitalist | Carolinas Physicians Network Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Nilesh Kantilal Patel | Emergency Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Walker David Brooks | Hospitalist | Carolinas Physicians Network Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Alison Anne Woodruff | Certified Registered Nurse Anesthetist (crna) | Chs Anesthesia Services Group Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline Kaleel Fogleman | Optometry | Innovative Eye Care Od Pllc | 1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-0008 |
Michelle Mumford | Optometry | Innovative Eye Care Od Pllc | 1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-0008 |
Paula R Newsome | Optometry | 1016 S Church St, Charlotte, NC 28203-4002 | |
Michael D Baldinger | Optometry | Eyecarecenter Od Pa | 1208 S Blvd, Charlotte, NC 28203-4208 |
Jessica Lauren Del Vecchio | Nurse Practitioner | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Mary Shirley Desormes | Physician Assistant | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Lauren S Kauer | Physician Assistant | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Richard L Elsey Ii | Family Medicine | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Perry J Depietro | Family Medicine | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Ikechi Dike | Nurse Practitioner | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Find all physicians in zip 28203 |
City | CHARLOTTE |
Zip Code | 28203 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | CHARLOTTE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jackie A Lucas.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.