DR. GREGORY TRACY (NPI# 1154715159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154715159 |
| Entity Type | Individual |
| Full Name | DR. GREGORY TRACY |
| Credential | M.D. |
| Practice Address |
3050 Harrodsburg Rd Ste 100 Lexington KY 40503 |
| Mailing Address |
3050 Harrodsburg Rd Ste 100 Lexington KY 40503-2714 |
| Practice Telephone | 8592776102 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
R3954 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 571 S Floyd St, Louisville, KY 402023818 | 5026296000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578847372 | Gregory Tracy | Pharmacist | 3408 S Hilton Ln, Peoria, IL 61607-9455 | 2011-09-29 |
| 1457681710 | Gregory T Tracy | Case Manager/Care Coordinator | 7838 Ventnor Ave, Margate City, NJ 08402-2743 | 2010-01-10 |
| Street Address |
3050 HARRODSBURG RD STE 100 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574969 | Lexington Health Inc | Pediatrics | 811 W Main St Ste 204, Lexington, SC 29072-2500 | 2020-10-08 |
| 1639489651 | Lexmedical, Inc | Pediatrics | 14 Medical Park Dr, Lexington, NC 27292-6768 | 2010-10-08 |
| 1427203454 | Mary Jane Lagrew, M.d., LLC | Pediatrics | 1780 Nicholasville Rd, Suite 203, Lexington, KY 40503-1400 | 2008-11-18 |
| 1952402091 | Pediatric & Adolescent Associates | Pediatrics | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2006-09-25 |
| 1386747251 | Mary Jane Lagrew | Pediatrics | 1780 Nicholasville Rd, Suite203, Lexington, KY 40503-1400 | 2006-09-06 |
| 1861418329 | Lexington County Health Services District, Inc. | Pediatrics | 811 West Main Street, Ste 204, Lexington, SC 29072 | 2006-07-15 |
| 1891712220 | Hatim A Omar | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-15 |
| 1992741714 | Sharon Norman Rodrigue | Pediatrics | 496 Southland Dr, Lexington, KY 40503-1827 | 2006-06-21 |
| 1659323525 | Deborah Delona Stanley | Pediatrics | 496 Southland Dr, Lexington, KY 40503-1827 | 2006-05-17 |
| 1609827872 | Priscilla Ann Lynd | Pediatrics | 1640 Bryan Station Rd Ste 1, Lexington, KY 40505-2144 | 2006-05-13 |
| Find all providers in LEXINGTON | ||||
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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.