STEPHEN LUCERO, MD, PC (NPI# 1710259692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710259692 |
| Entity Type | Organization |
| Organization Name | STEPHEN LUCERO, MD, PC |
| Practice Address |
1650 Hospital Dr Suite 300 Santa Fe NM 87505-4769 |
| Practice Telephone | 5059898325 |
| Practice Fax Number | 5059827665 |
| Mailing Telephone | 5059898325 |
| Mailing Fax Number | 5059827665 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-04-13 |
| Authorized Official Name | DR. STEPHEN PAUL LUCERO (PRESIDENT) |
| Authorized Official Telephone | 5059898325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 86 273 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | GROUP PTAN | NM 101791 | 01 |
| NM | INDIVIDUAL PTAN | NM 101792 | 01 |
| NM | 37481 | 05 |
| Street Address |
1650 HOSPITAL DR SUITE 300 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407868995 | Robert Jan Kossmann | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2006-08-12 |
| 1821549643 | Sheila Hundley | Nurse Practitioner | 1650 Hospital Dr, Suite 800, Santa Fe, NM 87505-4769 | 2016-10-17 |
| 1548514623 | Heather H. Sena Md PC | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2012-10-29 |
| 1437402450 | Sarah Elizabeth Aragon | Nurse Practitioner | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2012-10-16 |
| 1447568811 | Mark Seredowych, Md, PC | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2010-09-20 |
| 1942452925 | Vaida M. Stoik Md PC | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2008-10-21 |
| 1760642920 | Eileen Kerem | Nurse Practitioner | 1650 Hospital Dr, Suite 400, Santa Fe, NM 87505-4769 | 2008-06-11 |
| 1841480639 | Alfred Wayland Pinkerton Jr. | Specialist | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2007-07-27 |
| 1942326608 | Ellen Wittman | Physician Assistant | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2007-03-22 |
| 1225162266 | Adult Medicine Specialists of Santa Fe | Internal Medicine | 1650 Hospital Dr, Suite 400, Santa Fe, NM 87505-4769 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801162003 | Margaret N Le | Urology | 4801 Beckner Rd Ste 1700, Santa Fe, NM 87507-3641 | 2012-04-01 |
| 1306009840 | Robert M Zone | Urology | 14 General Sage Dr, Santa Fe, NM 87505-6337 | 2008-07-03 |
| 1851684567 | St. Vincent Hospital | Urology | 1630 Hospital Dr Ste D, Santa Fe, NM 87505-4772 | 2011-05-27 |
| 1548573462 | Eric W. Anderson M.d. P.C. | Urology | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2010-07-20 |
| 1235203134 | Steven C Robeson Md PC | Urology | 1630 Hospital Dr, Suite C, Santa Fe, NM 87505-4772 | 2006-11-20 |
| 1538239645 | Eric William Anderson | Urology | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2006-11-08 |
| 1275602617 | Steven Craig Robeson | Urology | 1630 Hospital Dr, Suite C, Santa Fe, NM 87505-4772 | 2006-11-07 |
| 1376623223 | Michael Milroy | Urology | 1630 Hospital Dr, Suite B, Santa Fe, NM 87505-4772 | 2006-10-16 |
| 1154414027 | Stephen Paul Lucero | Urology | 1650 Hospital Dr, Suite 300, Santa Fe, NM 87505-4769 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982925673 | Christopher Robert Vesely Hoover | Urology | 1900 Red Rock Dr, Gallup, NM 87301-5682 | 2010-06-16 |
| 1174849210 | Jessica Megan Chen Ming | Urology | 1004 Columbia Dr Ne, Albuquerque, NM 87106-2627 | 2010-04-14 |
| 1346474913 | Arthur Anthony Caire V | Urology | 350 W Country Club Rd Ste 205, Roswell, NM 88201-5221 | 2009-05-11 |
| 1174693782 | Robert W Frasier IIi | Urology | 612 N Paseo De Onate Ste D, Espanola, NM 87532-2963 | 2006-11-09 |
| 1023111374 | Sergio Jose Rybka | Urology | 1013 N Thomas St, Carlsbad, NM 88220-4575 | 2006-09-05 |
| 1932202280 | Sergio J Rybka Md PC | Urology | 1031 N Thomas St, Carlsbad, NM 88220 | 2006-09-05 |
| 1568493773 | Richard Saul Diaz Tushman | Urology | 2402 W Pierce St Ste 6f, Carlsbad, NM 88220-3566 | 2006-07-05 |
| 1598743056 | Steven Arrowsmith | Urology | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-01-05 |
| 1306830450 | San Miguel Clinic Corp Dba Northern New Mexico Urology | Urology | 2301 7th St, Las Vegas, NM 87701-4966 | 2005-09-06 |
| 1205835808 | Deming Clinic Corporation | Urology | 122 S Gold Ave, Suite 6, Deming, NM 88030-3755 | 2005-07-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEPHEN LUCERO, MD, PC.
| 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.