TYLER JACOB LUCAS (NPI# 1295232643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295232643 |
| Entity Type | Individual |
| Full Name | TYLER JACOB LUCAS |
| Credential | DO |
| Practice Address |
8414 Naab Rd Ste 120 Indianapolis IN 46260 |
| Mailing Address |
8414 Naab Rd Ste 120 Indianapolis IN 46260-1972 |
| Practice Telephone | 3173387510 |
| Practice Fax Number | 3173387494 |
| Mailing Telephone | 3173387510 |
| Mailing Fax Number | 3173387494 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11019906A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758734 | Tyler S Lucas | Specialist | 1421 3rd Ave, Penthouse, New York, NY 10028-1802 | 2005-05-31 |
| 1184270233 | Tyler Lucas | Specialist/Technologist | 3639 Sayles Blvd, Abilene, TX 79605-7099 | 2019-08-14 |
| 1447641451 | Tyler Lucas | Physical Therapist | 11130 Kingston Pike, Knoxville, TN 37934-2865 | 2015-02-12 |
| 1972925576 | Tyler Lucas | Physical Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309 | 2014-01-16 |
| Street Address |
8414 NAAB RD STE 120 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992814537 | Alan Bercovitz | Family Medicine | 8414 Naab Rd Ste 120, Indianapolis, IN 46260 | 2006-08-29 |
| 1134757636 | Monica Kimberly Park | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2020-03-30 |
| 1134757610 | Harman Singh | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2020-03-30 |
| 1720616709 | Austin Thomas Moster | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2020-03-27 |
| 1386272318 | Anand Bankapur | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2020-03-27 |
| 1700348562 | Shelby Patricia Cooke | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2019-04-02 |
| 1720540552 | Paul Robert Synowicki | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2019-04-01 |
| 1659832210 | Matthew Christopher Feeney | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2019-03-27 |
| 1487115259 | Arrianne Marie Whittaker | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2019-03-26 |
| 1023578739 | August James Emford | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 120, Indianapolis, IN 46260-1972 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.