Thomas John Luckey (NPI# 1003949330, PAC ID# 3476610874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003949330 |
| PAC ID by PECOS | 3476610874 |
| Professional Enrollment ID | I20161103000688 |
| Full Name | Thomas John Luckey |
| Organization Legal Name | TANAGER EMERGENCY PHYSICIANS PLLC |
| Address |
2000 S Palestine St Ut Health Athens Athens TX 75751-5610 |
| Phone Number | 9036761000 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3375887052 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 | 9036761000 | TANAGER EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | TANAGER EMERGENCY PHYSICIANS PLLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Driver | Emergency Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| Leroy Paul Foster | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Catherine Eno Okpon Onabajo | Emergency Medicine | Tanager Emergency Physicians Pllc | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Scott Dieste | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Andrew T Larkin | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Brian Northcutt | Family Medicine | Tanager Emergency Physicians Pllc | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Don Brent Treichler | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| David W Buller | Family Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| Joshua Spencer Larson | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Joseph M Koza | Emergency Medicine | Tanager Emergency Physicians Pllc | 300 Wilson St, Ut Health Henderson, Henderson, TX 75652-5956 |
| Street Address |
2000 S PALESTINE ST UT HEALTH ATHENS |
| City | ATHENS |
| State | TX |
| Zip | 75751-5610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Dieste | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Amy Jo Shuptrine | Nurse Practitioner | Texas Em I Medical Services Pa | 2000 S Palestine St, Athens, TX 75751-5610 |
| Shaiquel A Jilani | Internal Medicine | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| David W Mcmillan | Nurse Practitioner | Texas Em I Medical Services Pa | 2000 S Palestine St, Athens, TX 75751-5610 |
| Subhash C Bose | Internal Medicine | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| Patrick W Liu | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Dominique Albert Kasindi | Internal Medicine | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| Douglas P Myers | Nephrology | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| Rhonda K Treadaway | Nurse Practitioner | Texas Em I Medical Services Pa | 2000 S Palestine St, Athens, TX 75751-5610 |
| Michael Shane Smith | Nurse Practitioner | Texas Em I Medical Services Pa | 2000 S Palestine St, Athens, TX 75751-5610 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Job B Mongare | Neurology | 113 N Murchison St, Athens, TX 75751-2109 | |
| Kevin B Skinner | Physician Assistant | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Williams | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Lynn Humphreys | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Teresa A Kilbourn | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Istre | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Dana J Santelli | Chiropractic | 890 W Corsicana, Suite 5, Athens, TX 75751-2260 | |
| Jay A Takata | Gastroenterology | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Jennifer A. Mahmoud | Physician Assistant | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Margaret S Allan-wilson | Clinical Social Worker | 600 S Palestine St, Suite 200, Athens, TX 75751-3310 | |
| Find all physicians in zip 75751 | |||
| City | ATHENS |
| Zip Code | 75751 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ATHENS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thomas John Luckey.
| 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.