LUKASZ MYC (NPI# 1154769545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154769545 |
| Entity Type | Individual |
| Full Name | LUKASZ MYC |
| Credential | M.D. |
| Practice Address |
5955 Airport Blvd Mobile AL 36608-3135 |
| Mailing Address |
Po Box 7987 Mobile AL 36670-0987 |
| Practice Telephone | 2516330573 |
| Practice Fax Number | 2516337367 |
| Mailing Telephone | 2516330573 |
| Mailing Fax Number | 2516337367 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 40964 | AL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0101260427 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
40964 | AL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 0101260427 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 251338 | 05 | |
| AL | BCBS | 512-44734 | 01 |
| AL | UHC | 6099394 | 01 |
| AL | MEDICARE | A10255A | 01 |
| MS | 02739713 | 05 | |
| AL | BCBS | 512-44735 | 01 |
| AL | 253074 | 05 | |
| AL | RR MEDICARE | P02511079 | 01 |
| AL | 251324 | 05 | |
| AL | 251328 | 05 | |
| AL | BCBS | 512-44736 | 01 |
| AL | BCBS | 512-44737 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Memorial Hospital Dr Ste 1a, Mobile, AL 366081128 | 2513436848 | 2513435708 |
| 2001 Spring Hill Ave, Mobile, AL 366073326 | 2514333344 | 2514334052 |
| 8725 County Road 64, Daphne, AL 365266061 | 2516251370 | 2516251380 |
| 1215 Lee St Box 800744, Charlottesville, VA 229080816 | 4349241931 | 4342435770 |
| 78 Medical Center Dr, Fishersville, VA 229392332 | 5409324075 | 5409325199 |
| Street Address |
5955 AIRPORT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801872353 | Allan F Seibert Iv | Internal Medicine | 5955 Airport Blvd, Mobile, AL 36608 | 2005-12-16 |
| 1962907618 | Staci Ann Robinson | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2018-03-26 |
| 1083165146 | Kimberly Ann Devilbiss | Clinical Nurse Specialist | 5955 Airport Blvd, Mobile, AL 36608 | 2016-10-24 |
| 1043617855 | Brandi Lee Kohn | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2014-11-21 |
| 1346661410 | Ashley Weaver Wiggins | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2013-12-17 |
| 1023321411 | William Bradley Pitts | Internal Medicine | 5955 Airport Blvd, Mobile, AL 36608 | 2010-07-14 |
| 1053540450 | Jessica Nicole Brock | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2009-07-07 |
| 1801054754 | Michael Gilchrist Gates | Allergy & Immunology | 5955 Airport Blvd, Mobile, AL 36608 | 2008-05-28 |
| 1174743223 | Donald Lawrence Bedsole | Internal Medicine | 5955 Airport Blvd, Mobile, AL 36608 | 2007-04-30 |
| 1790718658 | Casey Wayne Melton | Internal Medicine | 5955 Airport Blvd, Mobile, AL 36608 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689624835 | Pulmonary Associates of Mobile PC | Internal Medicine | 3 Infirmary Circle, Ste 410, Mobile, AL 36607 | 2006-05-10 |
| 1487212007 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617-2300 | 2019-05-29 |
| 1861852980 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mstn Bldg, Mobile, AL 36617-2238 | 2016-03-02 |
| 1235461930 | Ji Young Lee | Internal Medicine | 6701 Airport Blvd, Suite B 135, Mobile, AL 36608-6705 | 2010-02-04 |
| 1538363726 | Cynthia Renea Crowder | Internal Medicine | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2007-06-12 |
| 1053401737 | Karen A. Fagan | Internal Medicine | 2451 Fillingim St, Mastin Bldg., Mobile, AL 36617-2238 | 2006-10-13 |
| 1518901248 | Kane Loux Schaphorst | Internal Medicine | 2451 Fillingim St, Mastin Suite 102, Mobile, AL 36617-2238 | 2006-06-15 |
| 1760437800 | Johnson Haynes Jr. | Internal Medicine | 2451 Fillingim St, Mastin Bldg. Suite 102, Mobile, AL 36617-2238 | 2006-05-24 |
| 1740234327 | Brian W Fouty | Internal Medicine | 2451 Fillingim St, Mastin Bldg. Suite 102, Mobile, AL 36617-2238 | 2006-05-19 |
| 1306898325 | Marc S Gottlieb | Internal Medicine | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1407 | 2006-05-17 |
| Find all providers in MOBILE | ||||
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| 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.