CARLOS E LUCERO (NPI# 1649304395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649304395 |
| Entity Type | Organization |
| Organization Name | CARLOS E LUCERO |
| Other Organization Name | BECKLEY NEONATAL-PEDIATRIC CARE |
| Practice Address |
403 Carriage Dr Beckley WV 25801-2805 |
| Mailing Address |
403 Carriage Dr Beckley WV 25801 |
| Practice Telephone | 3042557456 |
| Practice Fax Number | 3042555899 |
| Mailing Telephone | 3042557456 |
| Mailing Fax Number | 3042555899 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | CARLOS ESTANISLAO LUCERO (OWNER) |
| Authorized Official Telephone | 3042557456 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
10355 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0112021000 | 05 | |
| WV | MEDICAID GROUP | 3810002253 | 01 |
| WV | 3810002253 | 05 |
| Other Name | Type Code |
|---|---|
| Beckley Neonatal-Pediatric Care | Doing Business As Name - Organization |
| Street Address |
403 CARRIAGE DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831494376 | Robin Darnell Pllc | Pediatrics | 4502 Maccorkle Ave Se Ste B, Charleston, WV 25304-1835 | 2011-01-13 |
| 1669669453 | Karyn Lynette Molinari-fryer | Pediatrics | 139 Conference Center Way, Suite 113, Bridgeport, WV 26330 | 2007-09-26 |
| 1588705107 | Sunila Mehrotra | Pediatrics | 2101 Jacob St Ste 602, Wheeling, WV 26003-3844 | 2007-02-08 |
| 1407819360 | Anna Maria Suray | Pediatrics | 3045 Pennsylvania Ave, Suite 3 Level 1, Weirton, WV 26062-3770 | 2006-04-10 |
| 1295737153 | Ann M. Lambernedis | Pediatrics | 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560-9548 | 2005-08-11 |
| 1477554574 | Pamela S. Stallo | Pediatrics | 303 Great Teays Blvd, Scott Depot, WV 25560-9553 | 2005-08-10 |
| 1003810631 | Romeo R Ednacot | Pediatrics | 207 Maplewood Ave, Ronceverte, WV 24970-1335 | 2005-06-10 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1982953873 | Bee Healthy Pediatrics Pllc | Pediatrics | 400 Court St, Suite 300, Charleston, WV 25301-1652 | 2012-09-06 |
| 1881839892 | Woman and Child, PC | Pediatrics | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2008-12-04 |
| Find all providers with the same taxonomy | ||||
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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.