TIMOTHY RAY LUSCHEN (NPI# 1245281989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245281989 |
| Entity Type | Individual |
| Full Name | TIMOTHY RAY LUSCHEN |
| Credential | PA |
| Practice Address |
623 S Houston Lake Rd Suite 200 Warner Robins GA 31088-9093 |
| Practice Telephone | 4789236633 |
| Practice Fax Number | 4789238444 |
| Mailing Telephone | 4789236633 |
| Mailing Fax Number | 4789238444 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002789 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
623 S HOUSTON LAKE RD SUITE 200 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-9093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023408291 | Jennifer Smith | Nurse Practitioner | 623 S Houston Lake Rd, Suite 200, Warner Robins, GA 31088-9093 | 2015-01-27 |
| 1225372329 | Warner Robins Medical Clinic, PC | Internal Medicine | 623 S Houston Lake Rd, Suite 500, Warner Robins, GA 31088-9093 | 2012-11-15 |
| 1134215072 | Gayatri Kamat | Internal Medicine | 623 S Houston Lake Rd, Suite 500, Warner Robins, GA 31088-9093 | 2006-10-05 |
| 1588606701 | Ravindraprasad J Shekarappa | Internal Medicine | 623 S Houston Lake Rd, Suite 500, Warner Robins, GA 31088-9093 | 2006-06-12 |
| 1467492785 | Charles S Edenfield | Internal Medicine | 623 S Houston Lake Rd, Suite 200, Warner Robins, GA 31088-9093 | 2006-06-07 |
| 1801842240 | Jose F Rimando | Internal Medicine | 623 S Houston Lake Rd, Suite 200, Warner Robins, GA 31088-9093 | 2006-05-26 |
| 1992751911 | Middle Georgia Medical Associates, P.C. | Internal Medicine | 623 S Houston Lake Rd, Suite 200, Warner Robins, GA 31088-9093 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678828 | Le'tombria Seay | Physician Assistant | 125 Russell Pkwy, Warner Robins, GA 31088-6164 | 2019-06-14 |
| 1437339785 | Dorothea Katrice Mackey | Physician Assistant | 104 Borders Way Ste 500, Warner Robins, GA 31088 | 2007-11-04 |
| 1265656169 | Lisa Fisher Zammit | Physician Assistant | 607 Russell Pkwy Ste A, Warner Robins, GA 31088-7690 | 2007-04-12 |
| 1043260383 | Amie Renee Daniels | Physician Assistant | 2054 Watson Blvd, Warner Robins, GA 31093-3634 | 2006-05-10 |
| 1841294386 | David K Grogan | Physician Assistant | 216 Corder Rd, Warner Robins, GA 31088 | 2005-06-13 |
| 1689286023 | Christal Perez | Physician Assistant | 655 7th St Bldg 700, Warner Robins, GA 31098-2227 | 2020-08-18 |
| 1922646926 | Amy Wei | Physician Assistant | 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 2019-12-20 |
| 1134779770 | Katherine E Szakal | Physician Assistant | 130 Byrd Way, Warner Robins, GA 31088-8937 | 2019-09-16 |
| 1881167674 | Olasunkanmi Ahmed Aromaye | Physician Assistant | 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 2019-01-04 |
| 1093223299 | Joseph Winter Kotnour | Physician Assistant | 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 2018-01-22 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on TIMOTHY RAY LUSCHEN.
| 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.