Active NPI
David B Lucchino, M.D.
- Surgery Physician
- Plains, PA
National Provider Identifier
1265409551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD028063L
- Practice address
- 200 S River St
Plains, PA 18705-1143 - Phone
- (570) 821-1100
- Fax
- (570) 821-1108
- NPI assigned
- Mar 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD028063L | PA | Primary |
Addresses
Primary practice location
200 S River St
Plains, PA 18705-1143
Mailing address
200 S River St
Plains, PA 18705-1143
Phone (570) 821-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0691278010 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes-Barre Academic Medicine LLC | Past | Accepting new patients | |
| United Health and Hospital Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Wyoming Valley Family Practice Residency Program
- Family Medicine Physician
- Kingston, PA
- NPI 1316978885
-
- Family Medicine Physician
- Kingston, PA
- NPI 1669613063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265409551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S RIVER ST",
"city": "PLAINS",
"state": "PA",
"postal_code": "187051143",
"telephone_number": "570-821-1100",
"fax_number": "570-821-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S RIVER ST",
"city": "PLAINS",
"state": "PA",
"postal_code": "187051143",
"telephone_number": "570-821-1100",
"fax_number": "570-821-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCHINO",
"first_name": "DAVID",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD028063L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0691278010",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plains, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.