CLAY ASHLEY LOUCKS


Address: 11020 Hull Street Rd, Midlothian, VA 23112-3200
Phone: 8047446310

CLAY ASHLEY LOUCKS (NPI# 1104891753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104891753
Entity Type Individual
Full Name CLAY ASHLEY LOUCKS
Credential MD
Practice Address 11020 Hull Street Rd
Midlothian
VA 23112-3200
Mailing Address 5000 Cox Rd
Glen Allen
VA 23060-9263
Practice Telephone 8047446310
Mailing Telephone 8049685700
Enumeration Date 2006-02-17
Last Update Date 2018-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 0101231696 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 010003211 05

Office Location

Street Address 11020 HULL STREET RD
City MIDLOTHIAN
State VA
Zip Code 23112-3200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013488246 Derek John Tatum Physician Assistant 11020 Hull Street Rd, Midlothian, VA 23112-3200 2018-12-16
1104277417 David Arthur Physician Assistant 11020 Hull Street Rd, Midlothian, VA 23112-3200 2016-06-28
1912357104 Amanda P. Monte Family Medicine 11020 Hull Street Rd, Midlothian, VA 23112-3200 2016-06-17
1104271832 Eduardo Y Hernandez Verge Family Medicine 11020 Hull Street Rd, Midlothian, VA 23112-3200 2016-05-02
1730432030 Maurice B Randall Physician Assistant 11020 Hull Street Rd, Midlothian, VA 23112-3200 2012-10-24
1124254297 Patricia Anne Babbitt Physician Assistant 11020 Hull Street Rd, Midlothian, VA 23112-3200 2009-06-03
1982860912 Rebecca A. Muminovic Family Medicine 11020 Hull Street Rd, Midlothian, VA 23112-3200 2008-07-30
1073739314 Don Robert Milliron Physician Assistant 11020 Hull Street Rd, Midlothian, VA 23112-3200 2007-04-17
1477678530 Lawrence D Berndt Physician Assistant 11020 Hull Street Rd, Midlothian, VA 23112-3200 2007-03-20
1093854259 Ather Iqbal Family Medicine 11020 Hull Street Rd, Midlothian, VA 23112-3200 2007-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982170080 Shonmarra Ylexus Glover Behavior Technician 5950 Harbour Lane, Midlothian, VA 23112 2018-10-17
1841778917 Brett Stires Behavior Technician 5950 Harbourt Park Dr, Midlothian, VA 23112 2018-08-01
1538655899 Surbhi Chandna Dentist 5921 Harbour Ln Ste 500, Midlothian, VA 23112 2018-07-10
1184121584 Katie Marie Kashmer Behavioral Analyst 5950 Barbour Park Lane, Midlothian, WA 23112 2018-04-11
1497259832 Ruth Lynn Kitchens Occupational Therapist 13900 Hull Street Rd., Midlothian, VA 23112 2018-03-21
1487157301 Susan Stoodt Price Occupational Therapist Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 2018-03-16
1922500495 Rayna Veney Piper Speech-Language Pathologist 13900 Hull Street Road, Midlothian, VA 23112 2018-03-01
1891202883 Rochelle Wallace Behavioral Analyst 5950 Harbourt Park Dr., Midlothian, VA 23112 2017-12-29
1184138448 Virginia Medical & Therapeutic Services Counselor 13540 E Boundary Rd, Midlothian, VA 23112 2017-11-24
1386169118 Brandon Poen Physical Therapist 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 2017-08-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790311603 Rachell Alissia Sullivan Family Medicine 6010 Park View Dr, Midlothian, TX 76065-8933 2020-03-23
1376176586 Jessie Cheng Family Medicine 381 Crofton Village Ter, Midlothian, VA 23114-4750 2020-02-16
1659840981 Rachel Bailey Family Medicine 4421 Stigall Dr, Midlothian, VA 23112-3217 2018-11-15
1326546151 Bellgrade Medical Family Medicine 2621 Promenade Pkwy Ste 101, Midlothian, VA 23113-4905 2018-01-26
1861845844 Ekaterina Bratysheva Family Medicine 13540 Hull Street Road, Midlothian, VA 23112 2016-07-14
1437534864 Mark Merritt Family Medicine 32 Spinnaker Cove Dr, Midlothian, VA 23112-2131 2015-07-27
1902218852 Katherine Pederson Family Medicine 2230 Bryan Pl Ste 200, Midlothian, TX 76065 2014-05-27
1902248941 Virginia Physicians,inc Family Medicine 11301 Polo Pl, Suite B, Midlothian, VA 23113-4803 2013-07-18
1336459171 Bon Secours St. Francis Medical Center Inc Family Medicine 13700 St Francis Blvd Ste 302, Midlothian, VA 23114-3222 2010-10-14
1821309675 Elias Flores Lara Jr. Family Medicine 151 Walton Way Ste 107, Midlothian, TX 76065-8010 2010-06-27
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Competitor

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City MIDLOTHIAN
Zip Code 23112

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Dataset Information

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.

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