Active NPI
Joseph W Lucero, MD
- Anesthesiology Physician
- Portsmouth, OH
National Provider Identifier
1144285602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.124078
- Practice address
- 2001 Scioto TRL
King's Daughters Medical Center Ohio
Portsmouth, OH 45662-2845 - Phone
- (740) 991-4000
- NPI assigned
- Apr 19, 2006
- Last updated
- Mar 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2005021464 | MO | |
| Anesthesiology Physician | 207L00000X | G64221 | CA | |
| Anesthesiology Physician | 207L00000X | 35.124078 | OH | Primary |
| Anesthesiology Physician | 207L00000X | 0101047756 | VA | |
| Anesthesiology Physician | 207L00000X | M7130 | ID | |
| Anesthesiology Physician | 207L00000X | 23203 | NE | |
| Anesthesiology Physician | 207L00000X | 7836A | WY | |
| Anesthesiology Physician | 207L00000X | MD438898 | PA | |
| Anesthesiology Physician | 207L00000X | 13268 | ND |
Addresses
Primary practice location
2001 Scioto TRL
King's Daughters Medical Center Ohio
Portsmouth, OH 45662-2845
Mailing address
PO Box 390
Tri-State Anesthesia Group PSC
Huntington, WV 25708-0390
Phone (304) 208-6411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64221 | CA | MD | General Practice Dentistry |
| G64221 | CA | MD | Anesthesiology Physician |
| M7130 | ID | MD | Anesthesiology Physician |
| 2005021464 | MO | MD | Anesthesiology Physician |
| 13268 | ND | MD | Anesthesiology Physician |
| MD438898 | PA | MD | Anesthesiology Physician |
| 0101047756 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Jefferson County | Anesthesiology | Past | Accepting new patients |
| Acuity Anesthesiology LLC | Anesthesiology | Past | Accepting new patients |
| Sierra Nevada Anesthesia Medical Associates, Inc. | Anesthesiology | Past | Accepting new patients |
| Jefferson Memorial Surgical Partners LLC | Past | Accepting new patients | |
| Wind River Anesthesia Consultants Inc | Anesthesiology | Past | Accepting new patients |
| Wind River Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| Alliance Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1073545265
-
dba Jefferson Memorial Surgery Center
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- NPI 1548224207
-
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-
- Anesthesiology Physician
- Klamath Falls, OR
- NPI 1720169014
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1144285602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 390",
"address_2": "TRI-STATE ANESTHESIA GROUP PSC",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257080390",
"telephone_number": "304-208-6411",
"fax_number": "304-429-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SCIOTO TRL",
"address_2": "KING'S DAUGHTERS MEDICAL CENTER OHIO",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622845",
"telephone_number": "740-991-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "JOSEPH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2005021464",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G64221",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.124078",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101047756",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ID",
"license": "M7130",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NE",
"license": "23203",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WY",
"license": "7836A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD438898",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ND",
"license": "13268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.