Anthony F Lugo (NPI# 1184626368, PAC ID# 7517995566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1184626368 |
| PAC ID by PECOS | 7517995566 |
| Professional Enrollment ID | I20050801000161 |
| Full Name | Anthony F Lugo |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Address |
1989 Miamisburg Centerville Rd Suite 301 Centerville OH 45459-3858 |
| Phone Number | 9374347353 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2860386349 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360051 | MIAMI VALLEY HOSPITAL |
| 360079 | KETTERING MEDICAL CENTER |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| Address | Phone | Organization |
|---|---|---|
| 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3858 | 9374347353 | PROVIDENCE MEDICAL GROUP |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Kay Edwards | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073 |
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Krista A Miller | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Meta Lisa Howard | Nurse Practitioner | Providence Medical Group | 400 Corporate Ctr Dr, Vandalia, OH 45377-1164 |
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Shane T Sampson | Family Medicine | Providence Medical Group | 2912 Springboro W, Moraine, OH 45439-1674 |
| Mary F Sroga | Nurse Practitioner | Providence Medical Group | 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 |
| James R Fisco | Family Medicine | Providence Medical Group | 70 Remick Blvd, Springboro, OH 45066-9168 |
| Street Address |
1989 MIAMISBURG CENTERVILLE RD SUITE 301 |
| City | CENTERVILLE |
| State | OH |
| Zip | 45459-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Mihok | Ophthalmology | 1989 Miamisburg Centerville Rd, Suite 300, Dayton, OH 45459-3858 | |
| Yassin Mustafa | Endocrinology | Alliance Physicians Inc | 1989 Miamisburg Centerville Rd, Suite 201, Dayton, OH 45459-3858 |
| Lisa G Nicely | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 |
| John Stevenson | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 |
| Percy Frasier | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Marc Greenberg | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 |
| Charles C Watson | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 304, Dayton, OH 45459-3823 |
| Kelly Lynn Welsh | Certified Clinical Nurse Specialist (cns) | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Hirt | Family Medicine | Premier Integrated Medical Assoc Ltd | 6520 Acro Court, Centerville, OH 45459 |
| James R Ouellette | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Matthew P Doepker | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Leandra Gray | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Kamran A Jafree | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| John H Matsuura | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Murtuza H Habeeb | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Jessica R Wozniak | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Sharda Gupta | Pathology | 5895 Batsford Dr, Dayton, OH 45459-1456 | |
| Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | |
| Find all physicians in zip 45459 | |||
| City | CENTERVILLE |
| Zip Code | 45459 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CENTERVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Anthony F Lugo.
| 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.