JILL LACY (NPI# 1053392951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053392951 |
| Entity Type | Individual |
| Full Name | JILL LACY |
| Credential | MD |
| Practice Address |
800 Howard Ave Yale Physicians Bldg-2nd Floor New Haven CT 06519-1369 |
| Mailing Address |
Po Box 9805 New Haven CT 06536-0805 |
| Practice Telephone | 2037371600 |
| Practice Fax Number | 2037372617 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2008-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
022937 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001229376 | 05 |
| Street Address |
800 HOWARD AVE YALE PHYSICIANS BLDG-2ND FLOOR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621419 | John P Fulkerson | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-07-01 |
| 1467068163 | Catherine Aileen Chagnon | Physical Medicine & Rehabilitation | 800 Howard Ave, New Haven, CT 06519-1369 | 2020-09-17 |
| 1508408915 | Rebecca Lynne Tallarita | Nurse Practitioner | 800 Howard Ave, New Haven, CT 06519 | 2019-10-17 |
| 1598323610 | Brianne Krawczyk | Pharmacist | 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 | 2019-06-04 |
| 1467017277 | Gabriel B Lerner | Student in an Organized Health Care Education/Training Program | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-05-07 |
| 1467915413 | Sarah Elizabeth Savoia | Physician Assistant | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-04-08 |
| 1992287577 | Brittany Cyr | Pharmacist | 800 Howard Ave, New Haven, CT 06519-1369 | 2018-08-30 |
| 1700395506 | Lauren Katherine Fagan | Audiologist | 800 Howard Ave, New Haven, CT 06519-1369 | 2017-09-25 |
| 1548784093 | Megan Frank Harari | Nurse Practitioner | 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 | 2017-07-26 |
| 1942723168 | Jamie B Freeman | Physician Assistant | 800 Howard Ave, Yale Neurosurgery, New Haven, CT 06519-1369 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083932578 | Yu Zhang | Internal Medicine | Smilow Cancer Hospital, 20 York Street, Np4, New Haven, CT 06510 | 2010-05-10 |
| 1538328778 | Mandar Deepak Muzumdar | Internal Medicine | Smilow Cancer Hospital, 35 Park Street, New Haven, CT 06511 | 2008-06-03 |
| 1225121932 | Pamela Lyn Kunz | Internal Medicine | Yale Medical School, 333 Cedar Street, New Haven, CT 06510-8028 | 2006-10-02 |
| 1073619490 | Anne C Chiang | Internal Medicine | 200 York Street, Np15-304, Yale University School of Medicine, New Haven, CT 06520 | 2006-09-15 |
| 1730374562 | Tara B Sanft | Internal Medicine | 333 Cedar St, Lmp 1072b, New Haven, CT 06510-3206 | 2007-09-14 |
| 1437241510 | Lajos Pusztai | Internal Medicine | 20 York Street, New Haven, CT 06520-3220 | 2006-09-28 |
| 1205807948 | Diamando Psyrri | Internal Medicine | 800 Howard Ave, Yale Physician's Building - 2nd Floor, New Haven, CT 06519-1369 | 2006-01-31 |
| 1528042819 | Harriet Margot Kluger | Internal Medicine | 800 Howard Ave, Yale Physicians Building 2nd Floor, New Haven, CT 06519-1369 | 2005-12-01 |
| 1396726113 | Michael E Hurwitz | Internal Medicine | 333 Cedar St, Yale University School of Medicine, New Haven, CT 06510 | 2005-11-09 |
| 1871583328 | Stuart E Seropian | Internal Medicine | 800 Howard Ave, Yale Physicians' Building, 2nd Floor, New Haven, CT 06519-1369 | 2005-10-26 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.