DAVID L. LUKENS,D.O.,P.S. (NPI# 1265765309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765309 |
| Entity Type | Organization |
| Organization Name | DAVID L. LUKENS,D.O.,P.S. |
| Practice Address |
1802 Yakima Ave Suite 304 Tacoma WA 98405-4499 |
| Practice Telephone | 2535727101 |
| Practice Fax Number | 2535729461 |
| Mailing Telephone | 2535727101 |
| Mailing Fax Number | 2535729461 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Authorized Official Name | DR. DAVID LEE LUKENS (PRESIDENT) |
| Authorized Official Telephone | 2535727101 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVID L. LUKENS, D.O.,P.S. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | OP00000600 | WA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OP00000600 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1802 YAKIMA AVE SUITE 304 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346936 | James Gregory Roberts | Surgery | 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 | 2005-06-20 |
| 1215393111 | Catherine Rehberger | Nurse Practitioner | 1802 Yakima Ave, 102, Tacoma, WA 98405-4499 | 2016-01-07 |
| 1548665318 | Franciscan Health System | Durable Medical Equipment & Medical Supplies | 1802 Yakima Ave, Suite 201, Tacoma, WA 98405-4499 | 2014-10-23 |
| 1144652629 | Erik Daniel Kellison | Pharmacist | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2013-08-06 |
| 1679837868 | Ashley Kay Kauzlaric | Nurse Practitioner | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2012-07-02 |
| 1225398589 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Suite 304, Tacoma, WA 98405-4499 | 2012-05-21 |
| 1770850570 | Sarah Jones Lahnert | Physician Assistant | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2011-11-22 |
| 1760768402 | Franciscan Medical Group | Surgery | 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 | 2011-10-26 |
| 1881989945 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 307, Tacoma, WA 98405-4499 | 2011-06-16 |
| 1699060756 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 302, Tacoma, WA 98405-4499 | 2011-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023534286 | Willa Alise Marinov | Family Medicine | 9040 Jackson Avenue Department of Family Medicine, Tacoma, WA 98431-0001 | 2017-08-19 |
| 1487186789 | Winnie Kirkpatrick Tsai | Family Medicine | 320 N Tacoma Ave Apt 502, Tacoma, WA 98403-2764 | 2017-03-28 |
| 1861842775 | Jessica Coulter | Family Medicine | Madigan Army Hospital 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2016-06-21 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1497139943 | Whitney Elizabeth Hine | Family Medicine | 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 | 2015-07-15 |
| 1871998138 | Stephen B Hillis M.d., P.s.,inc. | Family Medicine | 1901 S Cedar St Ste 108, Tacoma, WA 98405-2302 | 2014-10-29 |
| 1487919965 | Angela Marie Dunn | Family Medicine | 9040 Jackson Ave Fmc, Tacoma, WA 98431-5600 | 2012-07-10 |
| 1760745988 | Mai Vi Ha Hoang | Family Medicine | 1717 Yakima Ave # Ms 01-36, Tacoma, WA 98405-4474 | 2012-06-21 |
| 1477831295 | Walton Preston Woodall Jr. | Family Medicine | 1102 N. Tacoma Ave, Tacoma, WA 98403-2931 | 2011-07-27 |
| 1063718492 | James M. Foss M. D. | Family Medicine | 13410 Pacific Ave S, Tacoma, WA 98444-4866 | 2011-02-02 |
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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.