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Deactivated NPI 1811003130 Deactivated / Inactive NPI Male Practitioner

Dr. J Donald Lucker , MD

Pediatrics • Mentor, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. J Donald Lucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2006
NPI Deactivation Date May 15, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. J Donald Lucker, MD was a registered Pediatrics practicing in Mentor, OH. Throughout an active medical career spanning 19 years, Dr. Lucker provided care at the practice location at 9485 MENTOR AVENUE until profile deactivation on 2025-05-15.

Practice Location & Contact Primary Location

Practice Address

9485 Mentor Avenue
#101

Mentor, OH 44060

Telephone 4402055800
Fax 4402055801
Associated Practice Facility / Clinic
🏢 Lake Hospital System Inc Facility NPI 1013951920

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Mentor, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35-023870

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1043327125

Doctor of Medicine (M.D.)

NPI 1164984894

Doctor of Medicine (M.D.), Master of Public Health

NPI 1174626659

Doctor of Medicine (M.D.)

NPI 1588359038

Doctor of Osteopathic Medicine (D.O.)

NPI 1720194046

Doctor of Medicine (M.D.)

NPI 1811003148

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 15, 2025

Record deactivated on May 15, 2025

NPI Profile Active April 04, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 04, 2008

Registered at 9485 MENTOR AVENUE, #101, MENTOR, OH 44060 (Tel: 4402055800)

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Updated Business Mailing Address April 04, 2008

Registered at PO BOX 714328, COLUMBUS, OH 432714328 (Tel: 8003541985)

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Provider Name / Credentials Updated April 04, 2008

Recorded as J DONALD LUCKER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2008

Pediatrics (License #35-023870 in OH)

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Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811003130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: April 04, 2008
Deactivation Date: May 15, 2025

Mailing Address

Po Box 714328

Columbus, OH 432714328

Phone: 8003541985

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.