RICARDO LUGO


Address: 1501 Kings Hwy Rm 530, Shreveport, LA 71103-4228
Phone: 3186756036

RICARDO LUGO (NPI# 1588078224) 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) 1588078224
Entity Type Individual
Full Name RICARDO LUGO
Credential DDS, MD
Practice Address 1501 Kings Hwy Rm 530
Shreveport
LA 71103-4228
Practice Telephone 3186756036
Practice Fax Number 3186756129
Mailing Telephone 3186756036
Mailing Fax Number 3186756129
Enumeration Date 2014-06-19
Last Update Date 2019-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
S-991 LA Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
63027 CA Dental Providers
Y 204E00000X Oral & Maxillofacial Surgery 311638 LA Allopathic & Osteopathic Physicians
N 204E00000X Oral & Maxillofacial Surgery A158305 CA Allopathic & Osteopathic Physicians

Other Providers RICARDO LUGO

NPI Name Taxonomy Address Enumeration
1437449253 Ricardo Miguel Lugo Internal Medicine 4230 Harding Pike, Ste 330, Nashville, TN 37205-2018 2011-04-13

Office Location

Street Address 1501 KINGS HWY RM 530
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
Find all providers in zip 71103

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942391362 Frank W Harmon Oral & Maxillofacial Surgery 2120 Bert Kouns, Suite D, Shreveport, LA 71118 2006-09-28
1346627445 Wesley D. Carlisle Oral & Maxillofacial Surgery 1501 Kings Hwy, Shreveport, LA 71103 2015-04-28
1558688309 Stavan Yogendra Patel Oral & Maxillofacial Surgery 1501 Kings Hwy, Department of Oral Surgery, Shreveport, LA 71103-4228 2010-05-03
1700118510 James W. Sikes, Jr. Dmd, Md, LLC Oral & Maxillofacial Surgery 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 2010-02-03
1255532842 Jennifer Woerner Oral & Maxillofacial Surgery 1501 Kings Hwy, Department of Oral Surgery, Shreveport, LA 71103-4228 2007-05-30
1417992249 Louisiana State University Health Sciences Center Oral & Maxillofacial Surgery 1501 Kings Hwy, Lsuhsc-s Clinics, Shreveport, LA 71103-4228 2006-06-17
1356345250 James F Batte Oral & Maxillofacial Surgery 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 2005-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932414851 Michael D. Daigle Dds Apc Oral & Maxillofacial Surgery 100 Melissa Ln, Houma, LA 70360-4058 2010-08-16
1598927196 Ashraf R Heram Oral & Maxillofacial Surgery 1100 Florida Ave # 220, New Orleans, LA 70119-2714 2008-06-26
1194996637 Richard Tipery Akin Oral & Maxillofacial Surgery 614 Connells Park Ln, Baton Rouge, LA 70806-6534 2008-03-12
1114121639 Hugo St Hilaire Oral & Maxillofacial Surgery 2820 Napoleon Ave Ste 810, New Orleans, LA 70115-8235 2007-06-11
1477630515 Richard Tipery Akin Dds Md Apc Oral & Maxillofacial Surgery 614 Connells Park Lane, Baton Rouge, LA 70806 2006-11-01
1033292008 Michael Delano Daigle Oral & Maxillofacial Surgery 100 Melissa Lane, Houma, LA 70360 2006-10-23
1508877580 Ronald B Marks Oral & Maxillofacial Surgery 1403 Peterman Drive, Alexandria, LA 71301 2006-08-11
1275513798 Southpark Community Hospital Oral & Maxillofacial Surgery 314 Youngsville Hwy, Lafayette, LA 70508-4524 2006-01-19
1588641096 Alexandria Oral Surgery Associates LLP Oral & Maxillofacial Surgery 1403 Peterman Dr, Alexandria, LA 71301-3433 2005-12-27
1407848443 Ochsner Clinic LLC Oral & Maxillofacial Surgery 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2005-08-16
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Competitor

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City SHREVEPORT
Zip Code 71103

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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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