Jerry A Lucas (NPI# 1912016742, PAC ID# 9032263876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1912016742 |
| PAC ID by PECOS | 9032263876 |
| Professional Enrollment ID | I20090813000501 |
| Full Name | Jerry A Lucas |
| Organization Legal Name | JOHN RANDOLPH OB GYN LLC |
| Address |
12220 Iron Bridge Rd A Chester VA 23831-1543 |
| Phone Number | 8047065827 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3577580539 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490112 | CJW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12220 Iron Bridge Rd A, Chester, VA 23831-1543 | 8047065827 | JOHN RANDOLPH OB GYN LLC |
| Organization Legal Name | JOHN RANDOLPH OB GYN LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice Gibson Neale | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 9460 Amberdale Dr D, North Chesterfield, VA 23236-1259 |
| Linda K Brown | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 12220 Iron Bridge Rd A, Chester, VA 23831-1543 |
| Erica Royal | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Katy F Sanderson | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 1401 Johnston Willis Dr, Suite 500, North Chesterfield, VA 23235-4730 |
| Bethanie C Kelley | Nurse Practitioner | John Randolph Ob Gyn LLC | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Alynn B Alexander | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Candice Parkins | Nurse Practitioner | John Randolph Ob Gyn LLC | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Marijan Gospodnetic | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 |
| Nikita V Mishra | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 |
| John C Feore | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Street Address |
12220 IRON BRIDGE RD A |
| City | CHESTER |
| State | VA |
| Zip | 23831-1543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda K Brown | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 12220 Iron Bridge Rd A, Chester, VA 23831-1543 |
| Christopher A Manipula | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 12220 Iron Bridge Rd A, Chester, VA 23831-1543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph S Kennedy | Chiropractic | 10330 Iron Bridge Rd, Unit 5, Chester, VA 23831-1425 | |
| Juan Jose Diaz | Physical Therapy | Tidewater Physical Therapy LLC | 10438 Iron Bridge Rd, Unit 34, Chester, VA 23831-1427 |
| George W Chirkinian | Chiropractic | 11300 Iron Bridge Rd, Suite B, Chester, VA 23831-1428 | |
| Michael J Kelo | Physical Therapy | 11928 Iron Bridge Plz, Chester, VA 23831-1441 | |
| David M Andrews | Optometry | Andrews Eye Care Doctors of Optometry PC | 12000 Iron Bridge Rd, Chester, VA 23831-1459 |
| Terry Taylor | Nurse Practitioner | Bon Secours St Francis Medical Center Inc | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1467 |
| Karen Stevenson Landrum | Clinical Social Worker | Bon Secours St Francis Medical Center Inc | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1467 |
| Andrew L Rose | Family Medicine | Bon Secours St Francis Medical Center Inc | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1467 |
| Julie A Goodman | Nurse Practitioner | Bon Secours St Francis Medical Center Inc | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1467 |
| Melissa N Clayton | Nurse Practitioner | Bon Secours St Francis Medical Center Inc | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1467 |
| Find all physicians in zip 23831 | |||
| City | CHESTER |
| Zip Code | 23831 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CHESTER + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.