Active NPI
Richard E Lucky, CRNA
- Certified Registered Nurse Anesthetist
- Ozark, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-084888
- Practice address
- 126 Hospital Ave
Ozark, AL 36360-2018 - Phone
- (334) 793-8087
- Fax
- (334) 793-8191
- NPI assigned
- Mar 24, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-084888 | AL | Primary |
Addresses
Primary practice location
126 Hospital Ave
Ozark, AL 36360-2018
Mailing address
PO Box 863
Ozark, AL 36361-0863
Phone (334) 793-8087
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51044800 | Other | AL | BCBS OF AL |
| 1952573545 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, GA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000
449 W 23Rd St
Panama City, FL 32405-4507
Phone (954) 939-5000
Hospital & facility affiliations
- HCA Florida Fort Walton-Destin Hospital
- Flowers Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-084888 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Health Care Authority of the City of Eufaula | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| North Tampa Anesthesia Consultants | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Flowers HB Medical Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dale Medical Center | Current | Accepting new patients | |
| The Health Care Authority of the City of Eufaula | Current | Accepting new patients | |
| Dale Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dale Medical Center | Current | Accepting new patients | |
| Anesthesia Consultants of Savannah, PC | Current | Accepting new patients | |
| The Health Care Authority of the City of Eufaula | Current | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
218 Hospital Ave
Ste B
Ozark, AL 36360
Phone (334) 445-1025
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
Networks
- Freedom Health HMO Network
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1972283828
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Ozark, AL
- NPI 1538275342
-
- Critical Access Hospital
- Eufaula, AL
- NPI 1730692641
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1679774343
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1144216433
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Medicare Defined Swing Bed Hospital Unit
- Ozark, AL
- NPI 1215479357
-
- Certified Registered Nurse Anesthetist
- Ozark, AL
- NPI 1700081254
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Eufaula, AL
- NPI 1154834083
-
- Medicare Defined Swing Bed Hospital Unit
- Eufaula, AL
- NPI 1801309711
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1952573545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863",
"city": "OZARK",
"state": "AL",
"postal_code": "363610863",
"telephone_number": "334-793-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 HOSPITAL AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363602018",
"telephone_number": "334-793-8087",
"fax_number": "334-793-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKY",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-24",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-084888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51044800",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952573545",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.