DR. MICHAEL KENNEDY TRACY (NPI# 1124229380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124229380 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KENNEDY TRACY |
| Credential | M.D. |
| Practice Address |
6183 Paseo Del Norte Ste 290 Carlsbad CA 92011-1151 |
| Practice Telephone | 7606039910 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | C54009 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 9310791 | 05 | |
| OH | 9310793 | 05 | |
| OH | 9310794 | 05 | |
| MI | 1124229380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033312285 | Michael W Tracy | Social Worker | 411 N Brigham Ave, American Fork, UT 84003-1835 | 2007-06-06 |
| 1063719631 | Michael Lawrence Tracy | Psychologist | 201 N Rose Ave, Indiana University School of Education 4046, Bloomington, IN 47405-1005 | 2011-02-17 |
| 1295995751 | Michael C Tracy | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2008-06-09 |
| 1477733061 | Michael Richard Tracy | Orthopaedic Surgery | 334 Main St, Dickson City, PA 18519-1668 | 2007-11-12 |
| 1770778805 | Michael B Tracy | Physical Medicine & Rehabilitation | 380 Empire Rd, Suite 200, Lafayette, CO 80026-2677 | 2007-09-11 |
| 1780749135 | Michael Spencer Tracy | Nurse Anesthetist, Certified Registered | 975 Sereno Dr, Vallejo, CA 94589-2485 | 2006-12-26 |
| 1124054945 | Michael C Tracy | Emergency Medicine | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2006-06-23 |
| 1689662595 | Michael D Tracy | Internal Medicine | 450 Mountain View St, Powell, WY 82435-2212 | 2005-10-13 |
| Street Address |
6183 PASEO DEL NORTE STE 290 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92011-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952675134 | Michael K. Tracy, M.d., PC | Ophthalmology | 6183 Paseo Del Norte Ste 290, Carlsbad, CA 92011-1151 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1457876401 | Danika Enid Miranda | Behavioral Analyst | 2441 Palomar Airport Road #350, Carlsbad, CA 92011 | 2017-08-11 |
| 1902299472 | Jessica Tn Truong | Dentist | 520 Stern Way, Carlsbad, CA 92011 | 2015-03-09 |
| 1902140734 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 | 2012-11-16 |
| 1063522548 | Dawn Anderson | Physical Therapist | 6070 Avenida Encinas, Carlsbad, CA 92011 | 2006-08-30 |
| 1962512566 | Costco Wholesale Corporation | Pharmacy | 951 Palomar Airport Rd, Carlsbad, CA 92011 | 2006-08-30 |
| 1003860537 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 | 2006-05-20 |
| 1932176898 | Garrett J Tallman | Orthopaedic Surgery | 6125 Paseo Del Norte Ste 110, Carlsbad, CA 92011 | 2006-02-28 |
| 1821096157 | Paul Eric Dicesare | Orthopaedic Surgery | 1544 Weatherly Road, Carlsbad, CA 92011 | 2005-07-11 |
| 1699277897 | Priscilla Marie San Vicente | Technician, Other | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011 | 2018-03-03 |
| Find all providers in zip 92011 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437652278 | Hasan Suha Ergin | Ophthalmology | 3925 Skyline Rd, Carlsbad, CA 92008-2746 | 2018-03-16 |
| 1841268620 | Bill G Bell Md Inc | Ophthalmology | 7040 Ave Encinas, #110, Carlsbad, CA 92011-4654 | 2006-03-09 |
| 1649243338 | John Davis Edmiston | Ophthalmology | 3480 Carlsbad Blvd, Suite A, Carlsbad, CA 92008-3225 | 2006-02-11 |
| 1760486419 | Paul Hong-dze Chen | Ophthalmology | 1905 Calle Barcelona, Ste 208, Carlsbad, CA 92009-8452 | 2005-06-10 |
| 1952675134 | Michael K. Tracy, M.d., PC | Ophthalmology | 6183 Paseo Del Norte Ste 290, Carlsbad, CA 92011-1151 | 2012-03-06 |
| 1326354010 | Christopher N. Spellman, M.d., Inc. | Ophthalmology | 6221 Metropolitan St, Suite 200, Carlsbad, CA 92009-3096 | 2010-08-19 |
| 1194913988 | Bill G Bell | Ophthalmology | 7040 Avenida Encinas, 110, Carlsbad, CA 92011-4654 | 2007-10-05 |
| 1699781138 | Michael G. Lim | Ophthalmology | 2402 W Pierce St, Suite 1b, Carlsbad, NM 88220-3537 | 2006-08-01 |
| 1265484018 | Christopher Nawn Spellman | Ophthalmology | 6221 Metropolitan St, Suite 200, Carlsbad, CA 92009-3096 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
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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.