DR. LUCAS ANISSIAN (NPI# 1285669390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285669390 |
| Entity Type | Individual |
| Full Name | DR. LUCAS ANISSIAN |
| Credential | M.D. |
| Practice Address |
4689 Us Highway 17 Fleming Island FL 32003-4831 |
| Mailing Address |
1665 Kingsley Ave Suite 107 Orange Park FL 32073-4490 |
| Practice Telephone | 9042697007 |
| Practice Fax Number | 9042690529 |
| Mailing Telephone | 9042696565 |
| Mailing Fax Number | 9042690529 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME111701 | FL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 201054 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1582956 | 05 |
| Street Address |
4689 US HIGHWAY 17 |
| City | FLEMING ISLAND |
| State | FL |
| Zip Code | 32003-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275488 | Hui Tang | Family Medicine | 4689 Us Highway 17, Suite 14, Fleming Island, FL 32003-4831 | 2005-06-17 |
| 1376078634 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4689 Us Highway 17, Suites 2-5, Fleming Island, FL 32003-4831 | 2017-04-25 |
| 1588028559 | Hughston Clinic, PC | Durable Medical Equipment & Medical Supplies | 4689 Us Highway 17, Suite 11& 12, Fleming Island, FL 32003-4831 | 2016-04-06 |
| 1942611728 | Douglas K Scales, D.m.d., P.a. | Dentist | 4689 Us Highway 17, Suite 6, Fleming Island, FL 32003-4831 | 2014-05-14 |
| 1235104621 | Jeffrey Blake Burnette | Orthopaedic Surgery | 4689 Us Highway 17, Suite 11 &12, Fleming Island, FL 32003-4831 | 2006-02-21 |
| 1487628335 | Douglas Kristofer Scales | Dentist | 4689 Us Highway 17, Suite #6, Fleming Island, FL 32003-4831 | 2006-02-16 |
| 1194705574 | Albert Lewis Henry | Orthopaedic Surgery | 4689 Us Highway 17, Suite 11 &12, Fleming Island, FL 32003-4831 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1649614082 | Justin Charles Woods | Orthopaedic Surgery | 4689 Us Highway 17 Ste 12, Fleming Island, FL 32003-4831 | 2013-04-27 |
| 1134224108 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 1845 Town Center Blvd, Suite 405, Fleming Island, FL 32003-3356 | 2006-09-14 |
| 1326081019 | Scott M Mcginley | Orthopaedic Surgery | 1747 Baptist Clay Dr, Suite 200, Fleming Island, FL 32003-8502 | 2006-06-13 |
| 1235104621 | Jeffrey Blake Burnette | Orthopaedic Surgery | 4689 Us Highway 17, Suite 11 &12, Fleming Island, FL 32003-4831 | 2006-02-21 |
| 1194705574 | Albert Lewis Henry | Orthopaedic Surgery | 4689 Us Highway 17, Suite 11 &12, Fleming Island, FL 32003-4831 | 2006-01-20 |
| 1982697959 | Nigel W Sparks | Orthopaedic Surgery | 1747 Baptist Clay Dr, Suite 200, Fleming Island, FL 32003-8502 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
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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.