Luke Stephan Erdoes in Johnson City - Vascular Surgery
Luke Stephan Erdoes - NPI 1558355511
Luke Stephan Erdoes is a Vascular Surgery in Johnson City, Tennessee. Luke Stephan Erdoes practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Luke Stephan Erdoes is 1558355511. The last update date is 2019-04-15.
Luke Stephan Erdoes's current location address is 2 Professional Park Dr Ste 11, Johnson City, Tennessee. You can contact this provider via phone number 4234347400 and fax number 4234347401. The mailing address for Luke Stephan Erdoes is 2 Professional Park Dr Ste 11, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luke Stephan Erdoes |
|---|---|
| Address | 2 Professional Park Dr Ste 11, Johnson City, Tennessee |
| Phone Number | 4234347400 |
| Fax Number | 4234347401 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558355511 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2019-04-15 |
Provider Mailing Address Detail
| Address | 2 Professional Park Dr Ste 11 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046584 |
| Phone Number | 4234347400 |
| Fax Number | 4234347401 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 8186235-1205 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1558355511 | VA | -- | |
| 3860965 | TN | -- | |
| P00136769 | RR MEDICARE | ||
| TN0181 | JDH | ||
| 8856383 | CIGNA | ||
| Q030493 | TN | -- | |
| 4082499 | BCBS OF TN |
Post Comment/ Review Below
What is the unique identifier code issued to Luke Stephan Erdoes by the Centers for Medicare & Medicaid Services?
The Luke Stephan Erdoes has been assigned the NPI (National Provider Identifier) 1558355511. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Luke Stephan Erdoes is located?
The Luke Stephan Erdoes is situated at the following address: 2 Professional Park Dr Ste 11, Johnson City, TN, 376046584.
What is Luke Stephan Erdoes's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Luke Stephan Erdoes's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
When did the Luke Stephan Erdoes receive its 1558355511?
The Luke Stephan Erdoes was issued its 1558355511 on 2005-09-07, which is the date when the organization was assigned this unique identifier.
As of what date were the Luke Stephan Erdoes's details last updated?
The information pertaining to the Luke Stephan Erdoes, including its address, specialty, and other details, was most recently updated on 2019-04-15.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL