KEITH LUCKETT (NPI# 1346439312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346439312 |
| Entity Type | Individual |
| Full Name | KEITH LUCKETT |
| Credential | MD |
| Practice Address |
3235 Eden Ave. Mail Location 0560 Cincinnati OH 45219-0560 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5135846977 |
| Practice Fax Number | 5135846386 |
| Mailing Telephone | 5135855504 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35.094299 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
3235 EDEN AVE. MAIL LOCATION 0560 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-0560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104222603 | Mohammad Ali Rai | Internal Medicine | 200 Eden Avenue, Cincinnati, OH 45219-0001 | 2014-11-10 |
| 1184843484 | Jennifer Wall Forrester | Internal Medicine | 234 Goodman St # 560, Holmes Hospital, Cincinnati, OH 45219-2364 | 2007-04-25 |
| 1639554538 | Kavya Bhikhabhai Patel | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2015-07-21 |
| 1164860920 | Trihealth H LLC | Internal Medicine | 10495 Montgomery Rd, Cincinnati, OH 45242-4468 | 2013-06-13 |
| 1710243282 | James Henry England | Internal Medicine | 2123 Auburn Ave Ste A44, Cincinnati, OH 45219-2906 | 2012-04-09 |
| 1407177900 | Patricia Gilligan Young | Internal Medicine | 2123 Auburn Ave Ste A44, Cincinnati, OH 45219-2906 | 2010-06-18 |
| 1003070301 | Moises Arturo Huaman Joo | Internal Medicine | 234 Goodman Street, Cincinnati, OH 45219 | 2008-07-15 |
| 1912187543 | John M. Cafardi | Internal Medicine | 2123 Auburn Ave Ste A44, Cincinnati, OH 45219-2906 | 2007-11-12 |
| 1730370958 | Senu K Apewokin | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2007-08-05 |
| 1730390022 | Marie De Perio | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2007-05-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on KEITH LUCKETT.
| 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.