LUKE MENNER (NPI# 1487071957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487071957 |
| Entity Type | Individual |
| Full Name | LUKE MENNER |
| Credential | D.O. |
| Practice Address |
4881 Sugar Maple Dr Bldg 830 Wright Patterson Afb OH 45433-5529 |
| Practice Telephone | 9372578718 |
| Mailing Telephone | 9372578718 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 02004775A | IN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 34.012922 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0249185 | 05 |
| Street Address |
4881 SUGAR MAPLE DR BLDG 830 |
| City | WRIGHT PATTERSON AFB |
| State | OH |
| Zip Code | 45433-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588645428 | Steven Lawrence Pope | Nurse Anesthetist, Certified Registered | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2005-11-08 |
| 1225595879 | Beverley Sue Knight-stukenborg | Social Worker | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2019-03-01 |
| 1528460219 | Sarah R Dekoski | Physician Assistant | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2014-09-24 |
| 1417367285 | Nicholas Sousaris | Radiology | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2014-05-02 |
| 1487078887 | David Geottman | Internal Medicine | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2014-02-06 |
| 1356696595 | Christopher Robert Wild | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2012-07-13 |
| 1518224872 | Matthew Thomas Koroscil | Internal Medicine | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2012-04-11 |
| 1053632000 | Melissa Candella Holt | Dentist | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2010-06-14 |
| 1114129426 | Denise A Lockhart | Dietitian, Registered | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2007-05-31 |
| 1033285200 | Matthew Ray Doubrava | Preventive Medicine | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1073051306 | Kelsey Wilson | Internal Medicine | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2017-02-07 |
| 1487044152 | Daniel Joseph Cybulski | Internal Medicine | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 | 2015-02-02 |
| 1952715666 | Jeffrey Vance Myers | Internal Medicine | 2325 5th St Bldg 675, Wright Patterson Afb, OH 45433-7505 | 2014-06-20 |
| 1497173850 | Hassan Al-shammaa | Internal Medicine | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2014-04-02 |
| 1306262571 | Brittaini Danielle Bunce | Internal Medicine | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 | 2014-03-12 |
| 1487078887 | David Geottman | Internal Medicine | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2014-02-06 |
| 1285991703 | Catherine Jean Blasser | Internal Medicine | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 | 2012-04-22 |
| 1952629057 | Kurian Thomas Maliel | Internal Medicine | 88 Mdg, 4881 Sugar Maple Dr., Wright Patterson Afb, OH 45433-5529 | 2010-05-13 |
| 1881854834 | Ellen E Im | Internal Medicine | 4881 Sugar Maple Dr, Nephrology Clinic, Wright Patterson Afb, OH 45433-5529 | 2008-06-12 |
| 1730350158 | Kevin Dennis Alford | Internal Medicine | 4881 Sugar Maple Dr, C/o Internal Medicine Clinic A, Wright Patterson Afb, OH 45433-5529 | 2008-03-13 |
| Find all providers in WRIGHT PATTERSON AFB | ||||
| City | WRIGHT PATTERSON AFB |
| Zip Code | 45433 |
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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.