ANGELO JOHN LUCCO (NPI# 1669709390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669709390 |
Entity Type | Individual |
Full Name | ANGELO JOHN LUCCO |
Credential | M.D. |
Practice Address |
210 Mount Nebo Rd East Stroudsburg PA 18301-9237 |
Practice Telephone | 5702238842 |
Practice Fax Number | 5702238842 |
Mailing Telephone | 5702238842 |
Mailing Fax Number | 5702238842 |
Enumeration Date | 2009-11-18 |
Last Update Date | 2009-11-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD069604L | PA | Allopathic & Osteopathic Physicians |
Street Address |
210 MOUNT NEBO RD |
City | EAST STROUDSBURG |
State | PA |
Zip Code | 18301-9237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
Find all providers in zip 18301 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730795931 | Medical Associates of Erie | Internal Medicine | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-09-22 |
1578192514 | Telemed Solutions of Nj PC | Internal Medicine | 2100 Wharton St Ste 510, Pittsburgh, PA 15203-1691 | 2020-04-02 |
1316453558 | Arva Medical Specialties, PC | Internal Medicine | 7790 Easton Rd, Ottsville, PA 18942-1765 | 2017-12-26 |
1174953210 | Humberto Guerra-garcia | Internal Medicine | 2055 White Horse Rd, Berwyn, PA 19312-2127 | 2013-11-26 |
1912249061 | Christopher Hwang | Internal Medicine | 100 W Sproul Rd Ste 221, Springfield, PA 19064-2033 | 2013-03-26 |
1801160544 | Rhonda Lea Lahue-mordy | Internal Medicine | 901 Parkes Run Ln, Villanova, PA 19085-1126 | 2012-02-27 |
1437421088 | Internal Medicine and Geriatric of Lancaster County LLC | Internal Medicine | 1222 Cameron Dr, Manheim, PA 17545-8688 | 2012-01-29 |
1013225903 | Langhorne Physician Services | Internal Medicine | 1205 Langhrn Nwtwn Rd Ste 102, Langhorne, PA 19047-1220 | 2010-09-14 |
1386973592 | Richard Huskey Md Dmn Pak LLC | Internal Medicine | 1214 Line St, Ste B, Sunbury, PA 17801-1677 | 2009-12-17 |
1700020021 | Medical Associates of Erie | Internal Medicine | 5401 Peach Street - 3rd Floor, Lecom Health & Wellness Center Specialty Suites, Erie, PA 16509-2601 | 2009-04-30 |
Find all providers with the same taxonomy |
City | EAST STROUDSBURG |
Zip Code | 18301 |
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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.