DR. PAUL A LUCKY (NPI# 1720119068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720119068 |
| Entity Type | Individual |
| Full Name | DR. PAUL A LUCKY |
| Credential | M.D. |
| Practice Address |
10506 Montgomery Rd Ste 402 Cincinnati OH 45242-4489 |
| Mailing Address |
5300 Far Hills Ave Dayton OH 45429-2381 |
| Practice Telephone | 5137916161 |
| Practice Fax Number | 5137914085 |
| Mailing Telephone | 9374337536 |
| Mailing Fax Number | 9374339612 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35049616 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0538912 | 05 |
| Street Address |
10506 MONTGOMERY RD STE 402 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45242-4489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045915 | Lori B Schaen | Dermatology | 10506 Montgomery Rd Ste 402, Cincinnati, OH 45242-4489 | 2005-06-28 |
| 1205230356 | Amy Andrews | Registered Nurse | 10506 Montgomery Rd Ste 402, Cincinnati, OH 45242-4489 | 2014-10-17 |
| 1265629190 | Robert E. Weltman | Dermatology | 10506 Montgomery Rd Ste 402, Cincinnati, OH 45242-4489 | 2007-09-25 |
| 1356472542 | Michael A. Morgan | Dermatology | 10506 Montgomery Rd Ste 402, Cincinnati, OH 45242-4489 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623808 | Bria Deshea Barjuca | Dermatology | 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 | 2020-09-09 |
| 1528401213 | Jacqueline Fisher | Dermatology | 8000 5 Mile Rd Ste 260, Cincinnati, OH 45230-2163 | 2013-04-11 |
| 1265778104 | Louis Ernest Valker | Dermatology | 6375 Shawnee Pines Dr, Cincinnati, OH 45243-3153 | 2012-12-21 |
| 1720344575 | Veronica Anne Russo | Dermatology | 4101 Edwards Rd Ste 200, Cincinnati, OH 45209-1672 | 2012-04-05 |
| 1366771610 | Donald J Blaney | Dermatology | 5791 Cleves Warsaw Pike, Cincinnati, OH 45233 | 2009-12-16 |
| 1518100718 | Anne Louise Housholder | Dermatology | 3590 Lucille Drive, Cincinnati, OH 45213 | 2009-04-17 |
| 1609080837 | Jennifer Cafardi | Dermatology | 2123 Auburn Ave Ste 210, Cincinnati, OH 45219 | 2007-05-09 |
| 1851422026 | Dawn I Greenwald | Dermatology | 2123 Auburn Ave # 210, Cincinnati, OH 45219-2906 | 2007-03-08 |
| 1922139195 | Debra S Anderson | Dermatology | 4460 Red Bank Rd Ste 130, Cincinnati, OH 45227-2173 | 2007-03-08 |
| 1164585675 | Wayne E. Bauman, M.d. | Dermatology | 10496 Montgomery Rd Suite 201, Cincinnati, OH 45242 | 2006-12-18 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45242 |
Please comment or provide details below to improve the information on DR. PAUL A LUCKY.
| 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.