Dedrick Spencer Luikens, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

032.0101692 Issued in VT

Practice address

100 Hospital Dr
Bennington, VT 05201-5004

Phone

(802) 447-5300

NPI assigned

Nov 21, 2005

Last updated

May 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  Medicare reassignment NPD
• Northwest Ohio Emergency Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1407992902
  NPD (past)
• Ohio Emergency Physicians LLC

  • Emergency Medicine Physician
  • Findlay, OH
  • NPI 1356515795
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1851374144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 ESTATE JUDITHS FANCY",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204446",
            "telephone_number": "850-221-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015004",
            "telephone_number": "802-447-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIKENS",
        "first_name": "DEDRICK",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "032.0101692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Locher, M.S., CCC-SLP
• Frederick P. Loy, M.D.
• Jaclyn D Lozier, MD
• Debra M Lucey, APRN, CNS
• Devon Luft
• Martin R Luloff, M.D.
• Thomas R Lusa, RN.MS
• Leeann Lykstad
• Catherine Palmer Lyndaker, MD
• Edd Gilbert Lyon, MD

• Emergency Medicine Physician in Bennington, VT
• Providers in Bennington, VT by specialty
• Emergency Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.

Verify at the official NPI Registry.