DR. THADDEUS IVORY LANCASTER (NPI# 1316904923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316904923 |
| Entity Type | Individual |
| Full Name | DR. THADDEUS IVORY LANCASTER |
| Credential | MD |
| Practice Address |
3855 Pleasant Hill Rd Ste 100 Duluth GA 30096-8030 |
| Mailing Address |
Po Box 116156 Atlanta GA 30368-6156 |
| Practice Telephone | 6783127800 |
| Practice Fax Number | 6783127818 |
| Mailing Telephone | 4703250100 |
| Mailing Fax Number | 4703250193 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 73192 | GA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 073192 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
3855 PLEASANT HILL RD STE 100 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346779477 | Brandon Timothy Mcdonald | Family Medicine | 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 | 2017-06-12 |
| 1851824726 | Douglas Clarence Leder | Family Medicine | 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 | 2017-04-07 |
| 1093177107 | Brandon E. Gray | Family Medicine | 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 | 2016-03-28 |
| 1972929172 | Genevieve Slaughter | Nurse Practitioner | 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 | 2014-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1710203500 | Rachel Josephine Paccione | Obstetrics & Gynecology | 3630 Savannah Pl Ste B, Duluth, GA 30096-5028 | 2010-04-19 |
| 1780856740 | Xuan Cao | Obstetrics & Gynecology | 3635 Peachtree Industrial Blvd Ste 150, Duluth, GA 30096-2808 | 2008-03-31 |
| 1932273877 | Simone Whitmore | Obstetrics & Gynecology | 3460 Summit Ridge Pkwy, Suite 101, Duluth, GA 30096-1622 | 2006-11-20 |
| 1285628891 | Jacqueline Mache Walters | Obstetrics & Gynecology | 3630 Savannah Pl Ste 100, Duluth, GA 30096-5028 | 2005-09-09 |
| 1114389277 | Karin B. Knutson | Obstetrics & Gynecology | 420 E 1st St, Duluth, MN 55805-1901 | 2016-03-27 |
| 1215311402 | Cha Ob/gyn | Obstetrics & Gynecology | 3855 Pleasant Hill Rd, Suite 270, Duluth, GA 30096-1407 | 2015-07-17 |
| 1568845923 | Amber Ward | Obstetrics & Gynecology | 420 E 1st St, Duluth, MN 55805-1901 | 2015-07-02 |
| 1174910236 | Sarah Clausen | Obstetrics & Gynecology | 1000 E 1st St Ste Ll, Duluth, MN 55805-2297 | 2015-04-16 |
| 1033504071 | Kirsten Ma Indrelie | Obstetrics & Gynecology | 400 E 3rd St, Duluth, MN 55805-1951 | 2015-04-06 |
| Find all providers in DULUTH | ||||
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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.