THOMAS JORDAN LUCAK


Address: 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771
Phone: 2282302663

THOMAS JORDAN LUCAK (NPI# 1598185563) 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) 1598185563
Entity Type Individual
Full Name THOMAS JORDAN LUCAK
Credential MD
Practice Address 6300 E Lake Blvd Ste 201
Vancleave
MS 39565-6771
Mailing Address 6300 E Lake Blvd Ste 301
Vancleave
MS 39565-6771
Practice Telephone 2282302663
Practice Fax Number 2285463257
Mailing Telephone 2282302663
Enumeration Date 2014-04-17
Last Update Date 2020-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 27538 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 6300 E LAKE BLVD STE 201
City VANCLEAVE
State MS
Zip Code 39565-6771

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619919156 Lennon E. Bowen Iv Psychiatry & Neurology 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2006-06-11
1588139521 Carolyn Lawson Occupational Therapist 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 2018-10-05
1396233490 Dorian R Blake Nurse Practitioner 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2018-04-25
1629427174 Amanda Rayburn Registered Nurse 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2016-06-06
1699031369 Jess Harding Mullens Orthopaedic Surgery 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2012-04-07
1629395454 Kelly Marcus Coleman Anesthesiology 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 2010-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548761950 Jake Wallace Carzoli Nurse Practitioner 11700 Ms-57, Vancleave, MS 39565 2018-02-22
1992129316 Ashlynn Evan Crum Speech-Language Pathologist 8728 Doobie Ct., Vancleave, MS 39565 2014-02-05
1851695720 Coast Nurse Practitioners, Inc. Nurse Practitioner 13300 R.s. Kimball Road, Vancleave, MS 39565 2011-01-06
1538484761 Sarah Burke Speech-Language Pathologist 477 Colonel Vickrey Road, Vancleave, MS 39565 2010-03-31
1194058842 Jackson County School District Local Education Agency (LEA) 4700 Colonel Vickrey Road, Vancleave, MS 39565 2009-09-14
1962566224 John Michael Martin Nurse Practitioner 1330 R S Kimball, Vancleave, MS 39565 2006-12-21
1164971867 Clarissa Picard Occupational Therapist 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 2016-09-23
1760707913 Maryann Meehan Speech-Language Pathologist 477 Colonel Vickrey Road, Vancleave, MS 39565 2010-03-31
1306161559 Michael Pavlov Psychologist 477 Colonel Vickrey Road, Vancleave, MS 39565 2010-03-31
1184949356 Jayme Robinson Occupational Therapist 4700 Colonel Vickrey Road, Vancleave, MS 39565 2010-03-31
Find all providers in zip 39565

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154349223 John Kirk Drake Orthopaedic Surgery 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 2006-07-17
1699031369 Jess Harding Mullens Orthopaedic Surgery 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2012-04-07
1861620148 Christopher Burks Orthopaedic Surgery 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 2009-06-25
1003043506 Matthew Wesley Lewis Orthopaedic Surgery 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 2009-06-11
1104012566 Daniel Allen Wittersheim Orthopaedic Surgery 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 2007-09-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619526852 Msk Group, PC Orthopaedic Surgery 7900 Airways Blvd Bldg B102, Southaven, MS 38671-4118 2019-09-10
1790193050 Och Orthopedic Center Orthopaedic Surgery 401 Hospital Rd, Starkville, MS 39759-2164 2014-07-30
1679909774 Irvin L. Martin IIi Md Pllc Orthopaedic Surgery 1800 12th St Ste 1e, Meridian, MS 39301-4158 2013-09-20
1073946216 Madison Physician Surgery Center, LLC Orthopaedic Surgery 4510 Lakeland Dr, Flowood, MS 39232-9583 2013-08-12
1386076743 William Ladwick Hand Orthopaedic Surgery 304 Kings Common, Ridgeland, MS 39157 2013-08-07
1184068413 Thomas Payne Royals Orthopaedic Surgery 103 Tatum Rd, Hattiesburg, MS 39401-5186 2013-04-17
1639426117 Southern Bone & Joint Specialists, Pa Orthopaedic Surgery 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 2012-08-14
1487901807 Southern Bone & Joint Specialists, Pa Orthopaedic Surgery 1215 Highway 98 Byp, Columbia, MS 39429-3702 2012-08-06
1477817799 Matthew A Miller Orthopaedic Surgery 1211 South Gloster St, Suite A, Tupelo, MS 38801 2012-07-02
1831453158 Phillip Anthony Sandifer Orthopaedic Surgery 100 Baptist Memorial Cir Ste 330, Oxford, MS 38655-4477 2012-07-02
Find all providers with the same taxonomy

Competitor

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City VANCLEAVE
Zip Code 39565

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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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