MR. LUCAS E CROAK (NPI# 1518109743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518109743 |
| Entity Type | Individual |
| Full Name | MR. LUCAS E CROAK |
| Credential | PA-C |
| Practice Address |
560 N Cleveland Ave Westerville OH 43082-9105 |
| Mailing Address |
170 Taylor Station Rd Columbus OH 43213-4441 |
| Practice Telephone | 6148392300 |
| Practice Fax Number | 6148392301 |
| Mailing Telephone | 6145457900 |
| Mailing Fax Number | 6145457901 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2015-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.002894 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
560 N CLEVELAND AVE |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43082-9105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649232372 | Nicole Shuff Kennedy | Nurse Practitioner | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2006-04-06 |
| 1861008625 | Kathleen Durisek | Physical Therapist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2020-09-17 |
| 1770063810 | Morgan Rashelle Sumner | Occupational Therapist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2018-08-17 |
| 1962930339 | Donald Beatty | Physical Therapist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2017-05-31 |
| 1215386289 | Stephani Osborne | Specialist/Technologist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2016-06-09 |
| 1750760591 | Joseph Probert | Physical Therapist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2015-05-27 |
| 1053653386 | Oliver James Scotting | Orthopaedic Surgery | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2013-03-25 |
| 1093055741 | Beth Ann Schroeder | Physical Therapist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2013-02-18 |
| 1932463965 | Mathew J Marshall | Physical Therapist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2012-06-25 |
| 1285904011 | James Skoczen Jr. | Physical Therapist | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2012-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023501509 | Taylor Wucinich | Audiologist | 387 County Line Rd W Ste 116, Westerville, OH 43082 | 2018-06-11 |
| 1366940132 | Hogan Nicklaus Marshall | Specialist/Technologist | 7118 Mount Royal Ave, Westerville, OH 43082 | 2018-01-26 |
| 1356858450 | Margaret Adams | Chiropractor | 387 County Line Rd. W, 215, Westerville, OH 43082 | 2018-01-10 |
| 1326407701 | Heidi A. Stauffer Dds | Dentist | 124 County Line Rd W, Suite A, Westerville, OH 43082 | 2016-02-15 |
| 1629324553 | Mavis Asamoah | Licensed Practical Nurse | 5401 Country Meadow Ct, Westerville, OH 43082 | 2012-07-30 |
| 1326283698 | Amy Lyn Gosnell | Dermatology | 300 Polaris Pkwy Ste 3300, Westerville, OH 43082 | 2008-12-15 |
| 1215186705 | Molly Hauer | Nursing Facility/Intermediate Care Facility | 7017 Laver Ln, Westerville, OH 43082 | 2008-09-09 |
| 1013181205 | Tridia Hospice Care, Inc. | Hospice Care, Community Based | 110 Polaris Pkwy Ste 302, Westerville, OH 43082 | 2008-04-17 |
| 1174702070 | Kathryn J Watkins Younkin | Dentist | 450 Alkyre Run Dr, Suite 290, Westerville, OH 43082 | 2007-10-26 |
| 1033300900 | Audrey Jones | Student in an Organized Health Care Education/Training Program | 187 W. Schrock Rd, Children's Hospital Guidance Center, Westerville, OH 43082 | 2007-08-06 |
| Find all providers in zip 43082 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1821533555 | Select Surgical Assisting LLC | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2017-01-04 |
| 1467844886 | Krystal Jalovec | Physician Assistant | 955 Eastwind Dr, Westerville, OH 43081-3376 | 2015-02-22 |
| 1679876866 | Kyle M Mueller | Physician Assistant | 70 S Cleveland Ave, Westerville, OH 43081-1397 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
| 1376822668 | Christopher A Ney | Physician Assistant | 6365 Winchester Blvd Ste A, Canal Winchester, OH 43110-2069 | 2011-08-04 |
| Find all providers with the same taxonomy | ||||
| City | WESTERVILLE |
| Zip Code | 43082 |
Please comment or provide details below to improve the information on MR. LUCAS E CROAK.
| 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.