MICHELLE A LUECK (NPI# 1366469033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366469033 |
| Entity Type | Individual |
| Full Name | MICHELLE A LUECK |
| Credential | PA-C |
| Practice Address |
201 4th Ave Enderlin ND 58027-1325 |
| Practice Telephone | 7014373320 |
| Practice Fax Number | 7014373323 |
| Mailing Telephone | 7014373320 |
| Mailing Fax Number | 7014373323 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0150 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 012890200 | 05 | |
| ND | 71086 | 05 |
| Street Address |
201 4TH AVE |
| City | ENDERLIN |
| State | ND |
| Zip Code | 58027-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849693 | Anna Paige Fuka | Physician Assistant | 201 4th Ave, Enderlin, ND 58027-1325 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720265168 | Family Chiropractic & Massage PC | Chiropractor | 207 Broadway St, Enderlin, ND 58027 | 2008-01-29 |
| 1295730653 | Sisters of Mary of The Presentation Long Term Care | Skilled Nursing Facility | 110 Hillcrest Dr, Enderlin, ND 58027-1129 | 2005-06-14 |
| 1982807723 | Mobilityplus Rehabilitation, Ltd | Occupational Therapist | 110 Hillcrest Dr, Enderlin, ND 58027-1129 | 2007-06-08 |
| 1770522351 | Margaret E Peterson | Chiropractor | 207 Broadway St, Enderlin, ND 58027-1201 | 2006-06-06 |
| 1134209711 | Duane Victor Krivarchka | Dentist | 213 4th Ave, Enderlin, ND 58027-1306 | 2006-10-17 |
| 1255889176 | Dr. Ryan Dahl, Dds, PC | Clinic/Center | 213 4th Ave, Enderlin, ND 58027-1306 | 2016-09-20 |
| 1982015483 | Dr Krivarchka Dds | Clinic/Center | 213 4th Ave, Enderlin, ND 58027-1306 | 2014-05-19 |
| 1285666271 | Sanford Clinic North | Clinic/Center | 201 4th Ave Ste 1, Enderlin, ND 58027-1325 | 2006-07-07 |
| 1356453369 | Nudak Ventures North Dakota LLC | Pharmacy | 308 Railway St, Enderlin, ND 58027-1344 | 2006-08-31 |
| 1043819568 | Debra Lindemann | Technician | 5068 133rd Ave Se, Enderlin, ND 58027-9540 | 2020-10-26 |
| Find all providers in zip 58027 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355608 | Jenny L Brown | Physician Assistant | 3750 19th St Sw, Center, ND 58530-9700 | 2019-06-14 |
| 1407335383 | Chelsey Galipeau | Physician Assistant | 516 1st Ave Sw, Dickinson, ND 58601-5906 | 2018-08-10 |
| 1093184657 | Grant Lannoye | Physician Assistant | 7448 Us Hwy 281, Cando, ND 58324-0688 | 2015-09-24 |
| 1821408907 | Laramie Jay Richmond | Physician Assistant | 311 Davis St N, Burlington, ND 58722-2027 | 2014-04-29 |
| 1962749226 | Lindsey K Baker | Physician Assistant | 1600 2nd Ave Sw Ste 19, Minot, ND 58701-3459 | 2013-01-07 |
| 1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
| 1811036247 | Tyesha Dawn Marie Dent | Physician Assistant | 302 North Main, Elgin, ND 58533 | 2007-02-05 |
| 1629160080 | Teresa Nielsen | Physician Assistant | 820 2nd Ave W, New England, ND 58647 | 2006-09-29 |
| 1841208394 | Lynette Marie Azure | Physician Assistant | 320 4th St Se, Devils Lake, ND 58301-3610 | 2006-08-03 |
| 1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
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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.