MRS. MEREDITH ANN LUCKENBAUGH (NPI# 1649569187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649569187 |
Entity Type | Individual |
Full Name | MRS. MEREDITH ANN LUCKENBAUGH |
Credential | M.D. |
Practice Address |
18947 John J Williams Hwy Suite 212 Rehoboth Beach DE 19971-4474 |
Practice Telephone | 3026458212 |
Practice Fax Number | 3026455041 |
Mailing Telephone | 3026458212 |
Mailing Fax Number | 3026455041 |
Enumeration Date | 2011-04-05 |
Last Update Date | 2017-01-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | C1-0010951 | DE | Allopathic & Osteopathic Physicians |
Street Address |
18947 JOHN J WILLIAMS HWY SUITE 212 |
City | REHOBOTH BEACH |
State | DE |
Zip Code | 19971-4474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356343552 | Andrejs V Strauss | Radiology | 18947 John J Williams Hwy, Tunnell Cancer Center, Rehoboth Beach, DE 19971-4474 | 2005-06-01 |
1194290346 | Rhonda Kay Owens | Nurse Practitioner | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-10-03 |
1275026809 | Jeanna Kate Gerhard | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-06-08 |
1518464726 | Alexis Smith | Student in an Organized Health Care Education/Training Program | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971 | 2018-04-12 |
1780182394 | Teresa Lesher | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-01-29 |
1154843605 | Audrey Umschlag | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2017-07-15 |
1790220945 | Katherine Preston | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2016-12-26 |
1508255795 | Jenifer Russell | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2015-01-12 |
1477950384 | Martin Blood | Pharmacist | 18947 John J Williams Hwy, Bebe Healthcare Tunnell Cancer Center, Rehoboth Beach, DE 19971-4474 | 2014-11-21 |
1376940239 | Rose Marie Marese-smith | Pharmacist | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2014-11-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881110435 | Sussex Medical Supplies | Durable Medical Equipment & Medical Supplies | 18766 John J Williams Hwy #215, Rehoboth Beach, DE 19971 | 2017-08-16 |
1023477361 | Jennifer Kaufman | Occupational Therapy Assistant | 321 Country Club Drive, Rehoboth Beach, DE 19971 | 2016-02-15 |
1396155792 | Amanda Celaschi | Obstetrics & Gynecology | 19405 Plantation Rd, Rehoboth Beach, DE 19971 | 2014-05-07 |
1487085692 | Donald Ryan Lewis Sr. | General Practice | 110 Westside Drive, Rehoboth Beach, DE 19971 | 2013-12-13 |
1144499229 | Isabel Marie Benson | Nurse Practitioner | 18947 John J. Williams Highway, Rehoboth Beach, DE 19971 | 2008-02-22 |
1013116888 | Peter B Collis | Family Medicine | #6 Cedar Rd, Rehoboth Beach, DE 19971 | 2007-07-12 |
1316161904 | Kaci Camerron Madison | Counselor | 20576 Coastal Highway, Rehoboth Beach, DE 19971 | 2007-04-13 |
1740309400 | Kimberly D. Furtado | Naturopath | 35252 Hudson Way, Unit 2, Rehoboth Beach, DE 19971 | 2007-03-27 |
1194820480 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | Ocean Bay Mart, 3712 Highway One, Rehoboth Beach, DE 19971 | 2006-09-13 |
1184657439 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 19312 Lighthouse Plaza Blvd, Rehoboth Beach, DE 19971 | 2006-07-09 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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/certificatio - 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 |
---|---|---|---|---|
1689959538 | Beacon Pediatrics LLC | Pediatrics | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971-4474 | 2011-10-11 |
1538307038 | Erin Fletcher | Pediatrics | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971-4476 | 2009-01-22 |
1417083940 | Stacey G. Fox | Pediatrics | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971-4474 | 2007-02-26 |
1659353217 | Jeffrey J Boxer | Pediatrics | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971-4474 | 2005-11-17 |
1174528251 | Judith B Gorra | Pediatrics | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971-4476 | 2005-06-16 |
1609871797 | Nancy M Gideon | Pediatrics | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971-4476 | 2005-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
1558908822 | Margaret Prygon | Pediatrics | 2620 Majestic Dr, Wilmington, DE 19810-2438 | 2019-12-05 |
1922539220 | Sana Syeeda Rahimi | Pediatrics | 703 N Dupont Blvd, Milford, DE 19963-1003 | 2017-03-27 |
1780081505 | Natasha Seerattan | Pediatrics | 703 N. Dupont Highway, Milford, DE 19963-1003 | 2014-11-21 |
1124433024 | Priyanka Vakati | Pediatrics | 4755 Ogletown Stanton Rd Dept Of, Newark, DE 19718-2200 | 2014-06-30 |
1811309271 | Joanna Laura Shaffer | Pediatrics | 2055 Limestone Rd Ste 300, Wilmington, DE 19808 | 2014-05-20 |
1962841841 | Suguna Patibanda | Pediatrics | 2719 Pickering Rd, Wilmington, DE 19808-3636 | 2013-06-24 |
1952643314 | H. Leon Aussprung IIi | Pediatrics | 4619 Weldin Rd, Wilmington, DE 19803-4825 | 2013-03-25 |
1013270073 | Parul Singh | Pediatrics | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2012-06-24 |
1841556891 | Rachel A Overdevest | Pediatrics | 5500 Skyline Dr Ste 4, Wilmington, DE 19808-1772 | 2012-04-04 |
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City | REHOBOTH BEACH |
Zip Code | 19971 |
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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.