Patricia D Luckerorth Professional Medical Corporation

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

A116738 Issued in CA

Legal business name

PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION

Practice address

2605 Loma Vista Rd
Ventura, CA 93003-1548

Phone

(805) 648-2227

Fax

(805) 648-6706

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Patricia D Luckeroth, M.D.

Title

Medical Director

Phone

(917) 817-2782

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark John Simonson, MD

  • Physical Medicine & Rehabilitation Physician
  • Soldotna, AK
  • NPI 1194827998
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1861802340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031548",
            "telephone_number": "805-648-2227",
            "fax_number": "805-648-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031548",
            "telephone_number": "805-648-2227",
            "fax_number": "805-648-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "LUCKEROTH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-817-2782",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A116738",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A116738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathpoint
• Patient Centered Psychiatry, Inc
• Mangala Patil-Holt, DDS
• Ruhi Patil, DO
• Matthew Patjawee
• Patrick and Margaret Barker
• Patrick W Diesfeld MD a Professional Corporation (Women's Health Group of Ventura)
• Charlene Kay Patt, M.A.
• Srisawai Pattamakom, M.D.
• Anuchit Pattanachinda

• Surgery of the Hand (Surgery) Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Surgery of the Hand (Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.