MR. MATTHEW W LUCERO (NPI# 1821060344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821060344 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW W LUCERO |
| Credential | AT |
| Practice Address |
15754 N Bullard Ave Surprise AZ 85374-8839 |
| Practice Telephone | 6232668124 |
| Practice Fax Number | 6233223184 |
| Mailing Telephone | 6232668124 |
| Mailing Fax Number | 6233223184 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306158886 | Matthew Anthony Lucero | Dentist | 1217 W Slaughter Ln Ste 140, Austin, TX 78748-6916 | 2010-07-13 |
| 1932724416 | Matthew Lucero | Community Health Worker | 1269 S 2nd St, Raton, NM 87740-2234 | 2020-06-10 |
| 1972941334 | Matthew Lucero | Internal Medicine | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 | 2013-06-07 |
| Street Address |
15754 N BULLARD AVE |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-8839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306819495 | Kyle Q Turner | Specialist | 15754 N Bullard Ave, Surprise, AZ 85374-8839 | 2006-02-09 |
| 1902878424 | Ronald Christopher Delucia | Specialist | 15754 N Bullard Ave, Surprise, AZ 85374-8839 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902252661 | Minimally Invasive Therapeutics Pllc | Specialist | 26362 N 168th Ave, Surprise, AZ 85387-6812 | 2016-05-11 |
| 1659789139 | Deirreio Duncan | Specialist | 12344 W Tami Ln, Surprise, AZ 85378-3606 | 2014-07-28 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1689935793 | Ralph Patrick Morone | Specialist | 15530 W Skyview Way, Surprise, AZ 85374-4777 | 2012-06-05 |
| 1659417178 | Richard Glen Reller | Specialist | 13327 N 152nd Ave, Surprise, AZ 85379-9119 | 2007-01-30 |
| 1669547386 | Lillian Marie Murray IIi | Specialist | 13427 W Paradise Lane, Surprise, AZ 85374 | 2006-11-21 |
| 1871530774 | Canyon Physical Therapy, Inc. | Specialist | 16968 W Bell Rd, Building D Suite 401, Surprise, AZ 85374-8946 | 2006-05-31 |
| 1215916374 | Raylene Short | Specialist | 11648 N 151st Ln, Surprise, AZ 85379-5316 | 2006-01-16 |
| 1639539232 | Peoria Ob Gyn, LLC | Specialist | 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 | 2016-02-25 |
| 1336498435 | Rosemary Fadool Do PC | Specialist | 15515 N Reems Rd, Suite 101, Surprise, AZ 85374 | 2012-09-05 |
| Find all providers in SURPRISE | ||||
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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.