MR. LUKE DAVID CICCHINELLI


Address: 1111 Locust Street, Philadelphia, PA 19107
Phone: 4802425177

MR. LUKE DAVID CICCHINELLI (NPI# 1578506101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578506101
Entity Type Individual
Full Name MR. LUKE DAVID CICCHINELLI
Credential M.D.
Practice Address 1111 Locust Street
Philadelphia
PA 19107
Mailing Address Po Box 751069
Charlotte
NC 28275-1069
Practice Telephone 4802425177
Practice Fax Number 2527443616
Mailing Telephone 2527443520
Mailing Fax Number 2527443194
Enumeration Date 2006-06-13
Last Update Date 2017-01-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 361 NC Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC RAILROAD MEDICARE 480031159 01
NC BCBS NC 0802H 01
NC 890802H 05

Office Location

Street Address 1111 LOCUST STREET
City PHILADELPHIA
State PA
Zip Code 19107

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912543109 Kimberly Nguyen Dpm PC Podiatrist 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 2019-11-21
1811476658 David Khakshoor Podiatrist 1703 Borbeck Ave Fl 1, Philadelphia, PA 19111-3514 2018-08-13
1851877179 Andrew Mermelstein Podiatrist 5800 Roxborough Avenue, Philadelphia, PA 19128 2018-07-19
1053835264 Marvin Marcelin Podiatrist 5735 Ridge Ave Ste 208, Philadelphia, PA 19128-1747 2017-07-29
1598287054 Taylor Wasserleben Podiatrist 235 N Broad St Ste 300, Philadelphia, PA 19107-1511 2017-07-16
1952718975 Travon Owens Podiatrist 4522 Westminster Ave, Philadelphia, PA 19131-5213 2014-07-22
1558675801 Duane Romana Podiatrist 1865 Welsh Rd, Apt J-9, Philadelphia, PA 19115-4764 2010-07-28
1144532748 Kimberly Hoang Nguyen Podiatrist 1311 South St, Philadelphia, PA 19147-1867 2010-07-12
1396973152 Kwasi Y Kwaadu Podiatrist 148 N 8th Street, Philadelphia, PA 19107-2496 2009-06-30
1043453996 Foot Health Centers, Pa Podiatrist 6911 Castor Ave, Philadelphia, PA 19149-1702 2009-04-08
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19107

Improve Information

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Dataset Information

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.

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