Individual
DR. LUCAS GEORGANDELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 VINE ST, GALLIPOLIS, OH 45631-1027
(740) 645-4237
Mailing address
1 VINE ST, GALLIPOLIS, OH 45631-1027
(740) 645-4237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21526
WV
207R00000X
Internal Medicine Physician
Primary
35-08-2167
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21526
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-08-2167
OH
207RN0300X
Nephrology Physician
21526
WV
207RN0300X
Nephrology Physician
35-08-2167
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185210
UNISON MEDICAID
OH
01
—
000000272527
ANTHEM BCBS
—
01
—
001714146
MOUNTAIN STATE BCBS
—
01
—
1730132580
NPI
—
05
—
2004717000
—
WV
01
—
2400708
MOLINA MEDICAID
OH
01
—
268597383-00
OH BUREAU WORKERS COMP
OH
01
—
310917085118
CARESOURCE MEDICAID
OH
01
—
P00006241
RR MEDICARE
—
Enumeration date
05/19/2006
Last updated
08/14/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us