MATTHEW J LUCOSTIC (NPI# 1265875546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265875546 |
| Entity Type | Individual |
| Full Name | MATTHEW J LUCOSTIC |
| Credential | NP-C |
| Practice Address |
150 Wayland Smith Dr Suite A Uniontown PA 15401 |
| Mailing Address |
1 Medical Center Dr Morgantown WV 26506-1200 |
| Practice Telephone | 7244378200 |
| Practice Fax Number | 7244376673 |
| Mailing Telephone | 6813423463 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | SP012852 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
97970 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP012852 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Wayland Smith Dr, Suite A, Uniontown, PA 154012677 | 7244378200 | 7244376673 |
| Street Address |
150 WAYLAND SMITH DR SUITE A |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194704890 | Redstone Rehabilitation Group Inc | Clinic/Center | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2006-01-11 |
| 1225645963 | Anna Marie Pirl | Physical Therapist | 150 Wayland Smith Dr, Uniontown, PA 15401-2677 | 2020-09-27 |
| 1093124653 | Kody D Wagner | Physical Therapist | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2014-08-07 |
| 1942631890 | Stephanie Layne | Occupational Therapist | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2013-12-03 |
| 1306271796 | Tatum N Brantner | Physical Therapist | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2013-09-05 |
| 1073945259 | Eric L Pritts | Physician Assistant | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2013-07-30 |
| 1093056558 | Pain Med PC | Anesthesiology | 150 Wayland Smith Dr, Uniontown, PA 15401-2677 | 2013-03-08 |
| 1629366638 | Keri Beth Adams | Physical Therapist | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2011-07-12 |
| 1427376078 | Rebecca A Skovira-neighly | Occupational Therapist | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2010-05-06 |
| 1346477130 | Susan P Lockette | Occupational Therapist | 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401-2677 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447721394 | Amber Rae Thompson | Nurse Practitioner | 103 Transit Dr Ste 300, Uniontown, PA 15401-2659 | 2018-12-17 |
| 1831614999 | Bethany Wagner | Nurse Practitioner | 86 Mcclellandtown Rd # Pa, Uniontown, PA 15401-5527 | 2017-08-10 |
| 1588190409 | Lyndsay Balogh | Nurse Practitioner | 202 Jacob Murphy Ln Ste 102, Uniontown, PA 15401-2686 | 2017-05-11 |
| 1851834360 | Olivia Conway | Nurse Practitioner | 97 Deleware Avenue, Suite 103, Uniontown, PA 15401-3137 | 2016-12-01 |
| 1013318765 | Angela Lynn Johnston | Nurse Practitioner | 630 Cherry Tree Lane, Uniontown, PA 15401 | 2014-09-12 |
| 1134476625 | Linda Rae Gardner | Nurse Practitioner | 500 W. Berkely St, C/o Hospital Care Associates, Uniontown, PA 15401 | 2012-08-14 |
| 1730714148 | Tracy Maurer | Nurse Practitioner | 3743 Boettler Oaks Dr Ste E, Uniontown, OH 44685-6227 | 2020-03-05 |
| 1932733128 | Stacey Shankle | Nurse Practitioner | 104 Delaware Ave Ste 244, Uniontown, PA 15401-3100 | 2020-02-26 |
| 1508417288 | Forrest Folk | Nurse Practitioner | 1940 Town Park Blvd, Uniontown, OH 44685-7855 | 2019-09-24 |
| 1073163028 | Vicki Lynn Morgan | Nurse Practitioner | 289 Mcclellandtown Rd, Uniontown, PA 15401-3107 | 2019-09-11 |
| Find all providers in UNIONTOWN | ||||
Please comment or provide details below to improve the information on MATTHEW J LUCOSTIC.
| 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.