MATTHEW STEVEN LUCKY (NPI# 1841641966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841641966 |
| Entity Type | Individual |
| Full Name | MATTHEW STEVEN LUCKY |
| Credential | D.O |
| Practice Address |
707 E Main St Middletown NY 10940-2667 |
| Mailing Address |
8 Hulse St Wallkill NY 12589-3110 |
| Practice Telephone | 8453331000 |
| Mailing Telephone | 5137226007 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MDO.83126DO | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Highway 9 E, Little River, SC 295667833 | 8433908100 |
| Street Address |
707 E MAIN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275942 | Mihai Olteanu | Anesthesiology | 707 E Main St, Middletown, NY 10940 | 2005-06-15 |
| 1699373944 | Cara Maher | Speech-Language Pathologist | 707 E Main St, Middletown, NY 10940-2650 | 2020-10-09 |
| 1396358552 | Rachel Chassen | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-27 |
| 1942812623 | Priyanka Tadepalli | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-23 |
| 1447868807 | Jennifer Marie Wade | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-21 |
| 1558989004 | Anisha Vadehra | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-10 |
| 1740805464 | Zahid Mahmood | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1780209338 | Umbreen Ahmad | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1306460100 | Manal Saif | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-08 |
| 1083238984 | Arezoo Teimouri | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389859 | Medexpress Urgent Care Connecticut, P.C. | Emergency Medicine | 752 Washington Street, Middletown, CT 06457-2904 | 2017-07-19 |
| 1598131062 | Nicki Elizabeth Maxwell | Emergency Medicine | 8 Schindler Ct Apt 8, Middletown, NY 10940 | 2015-08-19 |
| 1821470014 | Avindra D Ramnarain | Emergency Medicine | 33 James P Kelly Way, Apartment 9, Middletown, NY 10940-6948 | 2015-06-24 |
| 1225394273 | Marina Kloyzner | Emergency Medicine | 45 Crescent Street, Middlesex Hospital Department of Emergency Medicine, Middletown, CT 06457 | 2012-04-04 |
| 1023260767 | William Ray Lynch Jr. | Emergency Medicine | 212 Abbotsford Dr, Middletown, DE 19709-9459 | 2008-10-14 |
| 1740772383 | Herbert Del Rosario Icasiano | Emergency Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2018-05-30 |
| 1194215111 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 6147 State Route 122, Middletown, OH 45005-5201 | 2018-05-15 |
| 1952836124 | Amarnath Narayanappa Polepalle | Emergency Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2017-04-26 |
| 1902257041 | Nicole Marie Mcgill | Emergency Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2016-06-30 |
| 1689025793 | Zachary A Coppola | Emergency Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2016-06-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.