Active NPI
Lucia L Clover, M.D.
- Radiation Oncology Physician
- Sun City, AZ
National Provider Identifier
1821095530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 24233
- Practice address
- 13184 N 103Rd Dr
Sun City, AZ 85351-3038 - Phone
- (623) 972-2902
- Fax
- (623) 972-2539
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 24233 | AZ | Primary |
Addresses
Primary practice location
13184 N 103Rd Dr
Sun City, AZ 85351-3038
Mailing address
2160 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1410
Phone (239) 931-7342
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156315 | Other | AZ | UNIVERSAL HEALTHCARE |
| 3Z0577 | Other | AZ | HEALTH NET |
| P01730129 | Other | AZ | RR MEDICARE |
| 0000354366 | Other | AZ | MERCY CARE PLAN |
| 3Z3840 | Other | AZ | HEALTH NET |
| 5352333 | Other | AZ | AETNA |
| 3671278 | Other | AZ | CIGNA |
| 354366 | Medicaid | AZ | |
| 24233 | Other | AZ | LICENSE |
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 |
|---|---|---|---|
| 24233 | AZ | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Radiation Oncology | Past | Accepting new patients |
| Center for Dermatology, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Medical Physician Assistant
- Scottsdale, AZ
- NPI 1174062673
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1821095530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071410",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13184 N 103RD DR",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513038",
"telephone_number": "623-972-2902",
"fax_number": "623-972-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOVER",
"first_name": "LUCIA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AZ",
"license": "24233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL HEALTHCARE",
"identifier": "156315",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3Z0577",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01730129",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY CARE PLAN",
"identifier": "0000354366",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3Z3840",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5352333",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3671278",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "354366",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "24233",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
- Brenda Clausen
- Ravinder Clayton, MD
- Clinic for Chest Diseases PLLC
- Clinic for Chest Diseases, PLLC (Clinic For Chest Disease)
- Clinic for Digestive Diseases, PC
- Jaharris Ahmad Collier, MD
- Caitlin Collins, PA-C
- Earle Smith Collum, M.D.
- Colores ABA
- Community Partnered Resources Inc (Sun Cities Caregivers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.