LACIE GREGORY (NPI# 1124223649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124223649 |
| Entity Type | Individual |
| Full Name | LACIE GREGORY |
| Credential | MD |
| Practice Address |
507 E 16th St Ste 1 Wellington KS 67152-2828 |
| Practice Telephone | 6203263301 |
| Mailing Telephone | 6203263301 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 046718 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS GROUP NPI | 1437283991 | 01 | |
| CAQH | 12132729 | 01 | |
| KS | KANSAS LICENSE | 04-33377 | 01 |
| BCBS OF KANSAS | 1124223649 | 01 | |
| KS | 1124223649 | 05 | |
| NON RHC NPI | 1255500633 | 01 |
| Street Address |
507 E 16TH ST STE 1 |
| City | WELLINGTON |
| State | KS |
| Zip Code | 67152-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615353 | Joel Tracy Weigand | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2005-11-04 |
| 1538773569 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2020-09-08 |
| 1699123901 | Cooper Stewart | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2016-05-26 |
| 1508146549 | Candace Lynette Lira | Physician Assistant | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2011-08-22 |
| 1699842799 | Shana Jarmer | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2006-11-30 |
| 1447231428 | Steven Richard Scheufler | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373556 | Khan Noohani Md Pa | Psychiatric Unit | 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 | 2014-03-13 |
| 1114266293 | Symmetris, P.a. | Dentist | 122 E. Lincoln, Wellington, KS 67152 | 2013-02-08 |
| 1851485502 | Wellington Family Dentistry | Dentist | 119 East Lincoln, Wellington, KS 67152 | 2006-10-03 |
| 1073553871 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1111 W 8th St, Wellington, KS 67152 | 2006-06-08 |
| 1629071816 | City of Wellington | Emergency Medical Technician, Basic | 200 North C Street, Suite 200, Wellington, KS 67152 | 2005-05-23 |
| 1356861355 | E.b. Enterprises LLC | Assisted Living Facility | 401 N Woodlawn St, Wellington, KS 67152 | 2017-06-21 |
| 1184753113 | Angela L Baker | Social Worker | 1601 W 16th St, Wellington, KS 67152 | 2007-03-05 |
| 1275619504 | Sumner Mental Health Center | Counselor | 1601 West 16th Street, Wellington, KS 67152 | 2006-10-30 |
| 1629352877 | Cherished Friends LLC | Assisted Living Facility | 924 S Washington Ave, Wellington, KS 67152-2201 | 2011-10-06 |
| 1427009612 | Ggnsc Wellington LLC | Skilled Nursing Facility | 102 W Botkin St, Wellington, KS 67152-2302 | 2006-05-13 |
| Find all providers in zip 67152 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861994923 | Jorge Ibrahim Baghdan | Family Medicine | 2896 Pomerol Dr Apt 403, Wellington, FL 33414-9412 | 2018-03-05 |
| 1275995946 | Kaleb Wartgow | Family Medicine | 445 State Route 338, Wellington, NV 89444-9711 | 2016-03-22 |
| 1679975007 | Inspired Medical Pa | Family Medicine | 10443 Trianon Pl, Wellington, FL 33449-8075 | 2014-09-17 |
| 1568736387 | Primary Care of Palm Beach | Family Medicine | 227 Professional Way, Wellington, FL 33414-6392 | 2012-02-24 |
| 1740510312 | Nikia Lashonda Phillips | Family Medicine | 1397 Medical Park Blvd Ste 140, Wellington, FL 33414-3187 | 2010-01-05 |
| 1134457088 | Adolfo Colman Md | Family Medicine | 12139 Big Cone Ct, Wellington, FL 33414-5634 | 2009-12-03 |
| 1891023495 | Sarah Elizabeth Mitchell | Family Medicine | 2789 S State Road 7 Ste 100, Wellington, FL 33414-9320 | 2009-11-20 |
| 1932312972 | Richard M Hays Md Pa | Family Medicine | 1397 Medical Park Boulevard, Suite 220, Wellington, FL 33414 | 2007-05-07 |
| 1861541195 | Michael E Belotti Jr. | Family Medicine | 10111 Forest Hill Blvd., Suite 202, Wellington, FL 33414-6141 | 2007-01-09 |
| 1457371627 | Michael Girgis | Family Medicine | 125 S. State Road 7, Suite 104 - #343, Wellington, FL 33414 | 2006-07-20 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 67152 |
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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.