Stephen P Lucero (NPI# 1154414027, PAC ID# 1658532189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1154414027 |
| PAC ID by PECOS | 1658532189 |
| Professional Enrollment ID | I20120410000713 |
| Full Name | Stephen P Lucero |
| Organization Legal Name | TAOS PROFESSIONAL SERVICES,LLC |
| Address |
1397 Weimer Rd Taos NM 87571-6253 |
| Phone Number | 5757518902 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6507019924 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 321310 | HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS |
| Address | Phone | Organization |
|---|---|---|
| 1397 Weimer Rd, Taos, NM 87571-6253 | 5757518902 | TAOS PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | TAOS PROFESSIONAL SERVICES,LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tim J Moore | Obstetrics/gynecology | Taos Professional Services,llc | 1331 Maestas Rd, Suite 1, Taos, NM 87571-6268 |
| Demian M Knight | Physical Therapy | Taos Professional Services,llc | 1398 Weimer Rd, Suite 203 Center for Physical Health, Taos, NM 87571-6397 |
| Susan W Akins | Certified Nurse Midwife (cnm) | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Naomi Hannah | Certified Nurse Midwife (cnm) | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Geilan Ismail | Cardiovascular Disease (cardiology) | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Frank W Torres | Cardiovascular Disease (cardiology) | Taos Professional Services,llc | 1399 Weimer Rd, Suite 600, Taos, NM 87571-6340 |
| Douglas Earl Kast | Nurse Practitioner | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Christa Castro | Physician Assistant | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Kaylesh Kumar Pandya | Family Medicine | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| William R Dougherty | General Surgery | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Street Address |
1397 WEIMER RD |
| City | TAOS |
| State | NM |
| Zip | 87571-6253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Whitaker | Diagnostic Radiology | Rural Radiology Associates-taos, Pllc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Susan W Akins | Certified Nurse Midwife (cnm) | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Naomi Hannah | Certified Nurse Midwife (cnm) | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Thomas W Krudewig | Certified Registered Nurse Anesthetist (crna) | D.m.c. Hospitalist, P.C. | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Sara M Bush | Emergency Medicine | Taos Health Systems Inc Holy Cross Hospital | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Richard Ekwoge Ngole | Nurse Practitioner | Taos Health Systems Inc Holy Cross Hospital | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Tze-seun Yong | Family Medicine | Taos Health Systems Inc Holy Cross Hospital | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Geilan Ismail | Cardiovascular Disease (cardiology) | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| John D Wells | Emergency Medicine | Taos Health Systems Inc Holy Cross Hospital | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Douglas Earl Kast | Nurse Practitioner | Taos Professional Services,llc | 1397 Weimer Rd, Taos, NM 87571-6253 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfredo R Vigil | Family Medicine | El Centro Family Health | 1331 Gusdorf Rd, Taos, NM 87571-0516 |
| James M Mash | Psychologist, Clinical | El Centro Family Health | 1331 Gusdorf Rd, Taos, NM 87571-0516 |
| Meri Paige Gerling | Family Medicine | Taos Picuris Health Center | Po Box, Suite 1946, Taos, NM 87571-1946 |
| Todd A Powell | Qualified Audiologist | Taos Picuris Health Center | Po Box, Suite 1946, Taos, NM 87571-1946 |
| Brenda J Burdick | Family Medicine | Taos Picuris Health Center | Po Box, Suite 1946, Taos, NM 87571-1946 |
| Allison Tracy | Nurse Practitioner | Taos Picuris Health Center | Po Box, Suite 1946, Taos, NM 87571-1946 |
| Chelsia M Park | Optometry | Taos Picuris Health Center | Po Box, Suite 1946, Taos, NM 87571-1946 |
| Catherine A Mcqueen | Registered Dietitian Or Nutrition Professional | Taos Picuris Health Center | Po Box, Suite 1946, Taos, NM 87571-1946 |
| Gary Lee Davison | Optometry | Taos Picuris Health Center | Po Box, Taos, NM 87571-1946 |
| Sunee R Lovely | Family Practice | Taos Picuris Health Center | Po Box, Taos, NM 87571-1946 |
| Find all physicians in zip 87571 | |||
| City | TAOS |
| Zip Code | 87571 |
| Specialty | UROLOGY |
| City + Specialty | TAOS + UROLOGY |
Please comment or provide details below to improve the information on Stephen P Lucero.
| 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.