DR. LUKE JONATHAN DAVIDIUK (NPI# 1942742598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942742598 |
| Entity Type | Individual |
| Full Name | DR. LUKE JONATHAN DAVIDIUK |
| Credential | PSY.D. |
| Practice Address |
655 South 7th Street Bldg 700/700-a 78 Mdg/sgxw Robins Afb GA 31098 |
| Mailing Address |
607 Specter Ln Warner Robins GA 31098-1311 |
| Practice Telephone | 4783278398 |
| Mailing Telephone | 6263753032 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-005061 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 338 S Dakota Ave, Vandenberg Afb, CA 934376307 | 8056068217 | |
| 655 7th St Bldg 700700-a, Robins Afb, GA 310982227 | 4783278398 |
| Street Address |
655 SOUTH 7TH STREET BLDG 700/700-A 78 MDG/SGXW |
| City | ROBINS AFB |
| State | GA |
| Zip Code | 31098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427045012 | Kevin Stanger | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2005-09-29 |
| 1336629732 | Elaine Elizabeth Clines | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgxd, Robins Afb, GA 31098 | 2018-08-16 |
| 1922480128 | Ashley Nicole Drown | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2015-06-24 |
| 1255768578 | Omar Clor | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2013-10-01 |
| 1629418124 | Brandon O'neill Wielert | Physical Therapist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgo, Robins Afb, GA 31098 | 2013-06-28 |
| 1689720385 | Mark A Dammen | Nurse Practitioner | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgopf, Robins Afb, GA 31098 | 2007-01-26 |
| 1184772840 | Scott Alan Lawrence | Nurse Practitioner | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgow, Robins Afb, GA 31098 | 2007-01-08 |
| 1326118555 | David Merrill Oldham | Family Medicine | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgp, Robins Afb, GA 31098 | 2006-11-08 |
| 1770538126 | Bobbie Renee Hubbard | Social Worker | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2006-05-24 |
| 1568412997 | Christopher Bird | Family Medicine | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679426 | Lori Demello | Behavioral Analyst | 477 Holly Drive, Warner Robins, GA 31098 | 2016-02-15 |
| 1760885057 | John A Kauderman Jr. | Optometrist | 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 | 2014-10-01 |
| 1255757183 | Damon Jamel Murphy | Psychologist | 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 | 2014-03-17 |
| 1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
| 1881028009 | Michael Adam Lang | General Practice | Building 700a, Robins Afb, GA 31098 | 2013-08-23 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1851646830 | David Alan Lunsford Jr. | Physical Therapist | 655 South 7th St Bldg 700/700-a, 78 Mdg/sgoy, Robins Afb, GA 31098 | 2012-07-17 |
| 1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
| 1154625101 | Carolina Anna Perez | Counselor | 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 | 2011-01-05 |
| 1811128754 | Shawn Christopher Moore | Military Health Care Provider | 655th 7th Street, Robins Afb, GA 31098 | 2009-07-27 |
| Find all providers in zip 31098 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023127735 | Victor Emmanuel Stevenson | Psychologist | 655 7th Street, Bldg 704, 78th Mdg, Robins Afb, GA 31098-5000 | 2006-08-29 |
| 1750826558 | John Richard Jones II | Psychologist | 655 7th St Bldg 700700-a, Robins Afb, GA 31098-2227 | 2017-01-03 |
| 1639107584 | Linda Nail Summers | Psychologist | 655 7th St Bldg 700, Robins Afb, GA 31098-2227 | 2006-06-29 |
| 1871543736 | Delvida L. Long | Psychologist | 655 7th St Bldg 700, Robins Afb, GA 31098-2227 | 2006-05-11 |
| 1427023027 | Christine Lynne Chukabarah | Psychologist | 100 Page Rd, Suite D160, Wralc/dph, Robins Afb, GA 31098-1600 | 2006-02-17 |
| 1619968138 | Rhonda L. Somerhiser | Psychologist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgopf, Robins Afb, GA 31098-2227 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
| 1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
| 1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
| 1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
| 1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
| 1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
| 1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
| 1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | ROBINS AFB |
| Zip Code | 31098 |
Please comment or provide details below to improve the information on DR. LUKE JONATHAN DAVIDIUK.
| 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.