Individual provider Active NPI

Joseph W Lucero, MD

  • Anesthesiology Physician
  • Portsmouth, OH
National Provider Identifier
1144285602
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.124078 Issued in OH
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
64221CAMDGeneral Practice Dentistry
G64221CAMDAnesthesiology Physician
M7130IDMDAnesthesiology Physician
2005021464MOMDAnesthesiology Physician
13268NDMDAnesthesiology Physician
MD438898PAMDAnesthesiology Physician
0101047756VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.