Individual provider Active NPI

Lance Eugene Stuke, MD

  • Trauma Surgery Physician
  • New Orleans, LA
National Provider Identifier
1831393610
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
202238 Issued in LA
Practice address
1542 Tulane Ave # 734
New Orleans, LA 70112-2865
Phone
(504) 568-4752
NPI assigned
Jun 13, 2007
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 202238 LA Primary
Surgery Physician 208600000X 202238 LA
Surgical Critical Care Physician 2086S0102X 202238 LA

Addresses

Primary practice location

1542 Tulane Ave # 734
New Orleans, LA 70112-2865

Mailing address

1542 Tulane Ave # 734
New Orleans, LA 70112-2865
Phone (504) 568-4752

Other identifiers 2

IdentifierTypeStateIssuer
1103233MedicaidLA
BP3-0021141OtherINSTITUTIONAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000045 LA Practitioner - General Surgery 2466529169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202238LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Surgery CurrentSince Dec 9, 2018 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 1, 2009 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 1, 2009 Accepting new patients
Our Lady of the Lake Physician Group LLC Surgery Past Accepting new patients
University Medical Center Management Corporation Past Accepting new patients
Ess Region II LLC Past Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients

Locations

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
#734
New Orleans, LA 70112
Phone (504) 468-4750

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333

2025 Gravier St
Fl 3
New Orleans, LA 70112

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

478 S Johnson St
New Orleans, LA 70112
Phone (504) 412-1580

478 S Johnson St
Fl 3
New Orleans, LA 70112

533 Bolivar St
#508
New Orleans, LA 70112

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1831393610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE # 734",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE # 734",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKE",
        "first_name": "LANCE",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "LA",
            "license": "202238",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "202238",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "LA",
            "license": "202238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103233",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP3-0021141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.