PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION – NPI #1861802340
Surgery

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION is a surgeon located in VENTURA, CA. NPPES has assigned the NPI number 1861802340 to PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION on May 05, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0105X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 12 years ago on Sep 08, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION

NPI Number
1861802340
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PATRICIA D LUCKERORTH PROFESSIONAL MEDICAL CORPORATION
Primary location
2605 LOMA VISTA RD
VENTURA, CA 93003-1548
Phone: (805) 648-2227 Fax: (805) 648-6706
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICIA LUCKEROTH
MEDICAL DIRECTOR
Phone: (917) 817-2782
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0105X
- Surgery / Surgery of the Hand (Primary)
CA A116738
208600000X
- Surgery
CA A116738

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.