MR. JAMES PETER LACEY (NPI# 1164457081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164457081 |
| Entity Type | Individual |
| Full Name | MR. JAMES PETER LACEY |
| Credential | MD |
| Practice Address |
1223 Gateway Dr Ste 1e Melbourne FL 32901-2607 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3217298079 |
| Practice Fax Number | 3219848483 |
| Mailing Telephone | 3212980797 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME141937 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103767400 | 05 | |
| FL | MEDICARE | LN872 | 01 |
| FL | MEDICARE | M7508 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1223 Gateway Dr Ste 1e, Melbourne, FL 329012607 | 3217298079 | 3219848483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627747 | James E. Lacey | Family Medicine | 560 W Macphail Rd, Bel Air, MD 21014-4320 | 2005-05-27 |
| Street Address |
1223 GATEWAY DR STE 1E |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121567 | Deborah Morrison-metz | Family Medicine | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2005-08-23 |
| 1881226785 | Urgent Care Centers of Brevard County LLC | Clinic/Center | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2020-02-08 |
| 1982198586 | Letitia Krieg | Audiologist | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2018-06-18 |
| 1205296407 | Christian Adam Kendrick | Nurse Practitioner | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-03-01 |
| 1144687534 | Alexis Best | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-01-15 |
| 1609249499 | Alex Sher | Nurse Practitioner | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2015-11-03 |
| 1588076087 | Cassie Krause Kornhauser | Nurse Practitioner | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2014-06-02 |
| 1033494604 | Danielle N Miller | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2011-10-14 |
| 1407148950 | Namita Murthy | Otolaryngology | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2011-05-03 |
| 1841488277 | Ana Lucia Restrepo | Family Medicine | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972579506 | Belinda Elaine Dickinson | Otolaryngology | 1325 S Apollo Blvd, Melbourne, FL 32901-3146 | 2006-02-24 |
| 1386005759 | Comprehensive Ear Nose Throat Allergy Sinus LLC | Otolaryngology | 1314 Pine St, Melbourne, FL 32901-3117 | 2016-03-14 |
| 1790019735 | Space Coast Ear Nose and Throat Associates | Otolaryngology | 1344 S Apollo Blvd, Suite 301, Melbourne, FL 32901-3183 | 2009-09-23 |
| 1225276421 | Belinda E. Dickinson, M.d., P.a. | Otolaryngology | 1325 S Apollo Blvd, Melbourne, FL 32901-3146 | 2009-01-26 |
| 1316916448 | Gisela L Wagner | Otolaryngology | 1223 Gateway Dr, Suite 1e, Melbourne, FL 32901-2607 | 2006-03-14 |
| 1053388728 | James T Go | Otolaryngology | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 | 2006-03-02 |
| 1033184304 | Dean Richard Lindstrom IIi | Otolaryngology | 1314 Pine St, Melbourne, FL 32901-3117 | 2006-02-21 |
| 1154307676 | Timothy O'hare | Otolaryngology | 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901-3183 | 2005-12-16 |
| 1255317988 | Daniel P Sullivan | Otolaryngology | 1223 Gateway Dr, Suite 1g, Melbourne, FL 32901-2607 | 2005-12-15 |
| 1568447753 | Jose W. Ruiz | Otolaryngology | 1324 Valentine St, Melbourne, FL 32901-3128 | 2005-12-09 |
| Find all providers in MELBOURNE | ||||
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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.