MR. DEJAN LUKOVIC (NPI# 1427545854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427545854 |
| Entity Type | Individual |
| Full Name | MR. DEJAN LUKOVIC |
| Credential | ACNP |
| Practice Address |
203 Mills Ave Greenville SC 29605-4019 |
| Practice Telephone | 8642711844 |
| Mailing Telephone | 8642711844 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
21836 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
203 MILLS AVE |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881689966 | Kaye R Christopher | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2005-09-15 |
| 1275179681 | Lori Nichole Huang | Dietitian, Registered | 203 Mills Ave, Greenville, SC 29605-4019 | 2019-11-20 |
| 1336532456 | John Francis Sharkey Iv | Nurse Practitioner | 203 Mills Ave, Greenville, SC 29605-4019 | 2015-03-13 |
| 1841618329 | Tarak Shah | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2014-04-02 |
| 1235576372 | Brittani Ledford Robinson | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2013-05-30 |
| 1881823276 | Barry R. Gorlitsky | Internal Medicine | 203 Mills Ave, Carolina Nephrology, Pa, Greenville, SC 29605-4019 | 2009-07-07 |
| 1538397807 | Kelly Heegard | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2009-06-25 |
| 1235371766 | Cynthia R Evans | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2009-03-30 |
| 1376794727 | Abhaya Varma | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2008-10-03 |
| 1013119288 | Chitra Nathan | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903969 | Lauren Brooke Kirby | Nurse Practitioner | 620 Moye Blvd, Greenville, NC 27834-0001 | 2020-05-11 |
| 1780223685 | Estella Janean Hill | Nurse Practitioner | 110 Wayline Ct, Greenville, SC 29605-6451 | 2019-12-26 |
| 1467000794 | Stephanie Van Camp | Nurse Practitioner | 125 Commonwealth Dr Unit 210, Greenville, SC 29615-4812 | 2019-08-29 |
| 1679928428 | Stelina Jennings | Nurse Practitioner | 2 Innovation Drive Ste 400, Greenville, SC 29607 | 2016-04-29 |
| 1124484399 | Nisha Panday | Nurse Practitioner | 1101 Jackson St Ste B, Greenville, OH 45331-1396 | 2016-01-04 |
| 1578937157 | Kirsten Bur Dauterive | Nurse Practitioner | 890 W Faris Rd Ste 580, Greenville, SC 29605 | 2015-11-19 |
| 1578532040 | Brandy Kay Porter | Nurse Practitioner | 302 W Faris Rd, Greenville, SC 29605-3005 | 2006-03-16 |
| 1235134883 | Luann Harris | Nurse Practitioner | 3 Butternut Drive, Suite B, Greenville, SC 29605-4653 | 2005-06-20 |
| 1639770233 | Kristin L Schwartz | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2020-11-02 |
| 1720604366 | Sarah Ann Harris | Nurse Practitioner | 1200 Woodruff Rd Ste A3, Greenville, SC 29607-5732 | 2020-06-19 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on MR. DEJAN LUKOVIC.
| 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.