Active NPI
Lucas Aaron McDuffie, M.D.
- Pediatric Surgery Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- MD214949
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-5112 - Phone
- (843) 792-1414
- NPI assigned
- Sep 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MD214949 | OR | Primary |
| Pediatric Surgery Physician | 2086S0120X | 84076 | SC |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-5112
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, OR, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
9135 SW Barnes Rd
Ste 763
Portland, OR 97225
Phone (503) 216-6050
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
501 N Graham St
Ste 300
Portland, OR 97227
Phone (503) 413-4300
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- lmcduffie22333@direct.ohsu.edu
Organizations & group practices 19
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 MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba MUSC Physicians
- Anesthesiology Physician
- Charleston, SC
- NPI 1104843713
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1639842677
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Clinic/Center
- Portland, OR
- NPI 1700809027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1710269261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294255112",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFFIE",
"first_name": "LUCAS",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-11",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OR",
"license": "MD214949",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "SC",
"license": "84076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.