DR. IVAN LUKAC (NPI# 1255363644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255363644 |
| Entity Type | Individual |
| Full Name | DR. IVAN LUKAC |
| Credential | M.D. |
| Practice Address |
5002 Ridge Ave Suite 213 Cincinnati OH 45209-5015 |
| Mailing Address |
5002 Ridge Ave Cincinnati OH 45209-5015 |
| Practice Telephone | 5135311555 |
| Practice Fax Number | 5135312068 |
| Mailing Telephone | 5135311555 |
| Mailing Fax Number | 5135312068 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
35038535L | OH | Allopathic & Osteopathic Physicians |
| Street Address |
5002 RIDGE AVE SUITE 213 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598791980 | Tri State Urgent Care LLC | Emergency Medicine | 5002 Ridge Ave, Cincinnati, OH 45209-5015 | 2006-06-25 |
| 1194745539 | Ghassan Hajhamed | Internal Medicine | 5002 Ridge Ave, Cincinnati, OH 45209-5015 | 2006-07-20 |
| 1922033141 | Alfonso Trujillo-falla | Emergency Medicine | 5002 Ridge Ave, Cincinnati, OH 45209-5015 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205070869 | Candace L Leigh | Emergency Medicine | 3050 Taylor Ave, Cincinnati, OH 45220-2508 | 2009-04-27 |
| 1598791980 | Tri State Urgent Care LLC | Emergency Medicine | 5002 Ridge Ave, Cincinnati, OH 45209-5015 | 2006-06-25 |
| 1831146273 | Loretta A Clement | Emergency Medicine | 2692 Madison Rd Ste N1, # 365, Cincinnati, OH 45208-1320 | 2006-05-30 |
| 1205833589 | Robert Corgan | Emergency Medicine | 311 Straight St, Cincinnati, OH 45219-1018 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676897 | Donald Ray Woodyard Jr. | Emergency Medicine | 6283 Eberstark Dr, Columbus, OH 43235-5087 | 2019-06-05 |
| 1538675129 | Village of Sardinia | Emergency Medicine | 169 Winchester St, Sardinia, OH 45171-9326 | 2017-12-19 |
| 1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
| 1568778140 | David Carl Ernst | Emergency Medicine | 12817 W Lake Rd, Vermilion, OH 44089-3051 | 2010-08-20 |
| 1861551269 | Paul Michael Matus | Emergency Medicine | 90 Fairway Dr, Oberlin, OH 44074-1420 | 2006-12-08 |
| 1669569547 | Daniel R. Colopy | Emergency Medicine | 14 Health Dr, Chillicothe, OH 45601-8604 | 2006-10-10 |
| 1073623500 | Bes of Ohio, LLC, Dba Medgroup | Emergency Medicine | 6420 York Rd, Parma Heights, OH 44130-3032 | 2006-08-30 |
| 1487689337 | Frederick Richard Haussman | Emergency Medicine | 915 W. Michigan St., Sidney, OH 45365 | 2006-07-11 |
| 1740214113 | Majid A Qureshi | Emergency Medicine | 7345 Kings Gate Way, West Chester, OH 45069 | 2006-07-10 |
| 1114971140 | Diane A Mccormick | Emergency Medicine | 6011 Renaissance Pl, Toledo, OH 43623-4720 | 2006-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
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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.