LACEY A RAO (NPI# 1336342120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336342120 |
| Entity Type | Individual |
| Full Name | LACEY A RAO |
| Other Name | LACEY A WILMOT |
| Credential | MD |
| Practice Address |
6567 E Carondelet Dr Suite 415 Tucson AZ 85710-6152 |
| Practice Telephone | 5208856701 |
| Practice Fax Number | 5208859037 |
| Mailing Telephone | 5208856701 |
| Mailing Fax Number | 5208859037 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 4301087727 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
45818 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 703804 | 05 | |
| AZ | MEDICARE | Z154980 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6567 E Carondelet Dr Ste 305, Tucson, AZ 857106160 | 5208818400 | 5208816563 |
| Street Address |
6567 E CARONDELET DR SUITE 415 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902800 | Fraser Richards | Specialist | 6567 E Carondelet Dr, Ste 225, Tucson, AZ 85710-6152 | 2005-06-16 |
| 1225490683 | Alisha Severson | Audiologist | 6567 E Carondelet Dr, Tucson, AZ 85710-6152 | 2016-03-24 |
| 1386002350 | Wren Winston | Nurse Practitioner | 6567 E Carondelet Dr, Ste 215, Tucson, AZ 85710-6152 | 2016-02-05 |
| 1457733206 | Sarah Laszok | Audiologist | 6567 E Carondelet Dr, Suite 515, Tucson, AZ 85710-6152 | 2015-06-28 |
| 1174941439 | Timothy Hoskins Obgyn | Obstetrics & Gynecology | 6567 E Carondelet Dr, Suite 445, Tucson, AZ 85710-6152 | 2014-04-03 |
| 1689003956 | Ashley Nicole Ryan | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-11-06 |
| 1306274790 | Western Neurosurgery. Ltd. | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-10-22 |
| 1538405386 | Chelsea Mcnally | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2012-12-26 |
| 1447527817 | Sitara Kommareddi Md Pllc | Surgery | 6567 E Carondelet Dr, Suite 435, Tucson, AZ 85710-6152 | 2011-11-29 |
| 1205167277 | Timothy J Knoll | Physician Assistant | 6567 E Carondelet Dr, Suite 415, Tucson, AZ 85710-6152 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709240 | Timothy A Beer | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-02 |
| 1932472826 | Giles William Becker | Orthopaedic Surgery | 1501 N Campbell Ave, Umc, Department of Surgery-room 119, Tucson, AZ 85724-5064 | 2012-02-23 |
| 1417104977 | Tolga Turker | Orthopaedic Surgery | 707 N Alvernon Way, Suite 201, Tucson, AZ 85711-1827 | 2008-08-26 |
| 1316149131 | Shoaib I Sheikh | Orthopaedic Surgery | 707 N Alvernon Way Ste 205, Tucson, AZ 85711-1847 | 2007-06-04 |
| 1558405571 | Southwest Shoulder Elbow & Hand Center PC | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2007-02-16 |
| 1306990783 | J. David Gibeault, Md, PC | Orthopaedic Surgery | 3100 N Campbell Ave, Suite 102, Tucson, AZ 85719-2315 | 2007-01-22 |
| 1194820761 | J David Gibeault | Orthopaedic Surgery | 3100 N Campbell Ave, Suite 102, Tucson, AZ 85719-2315 | 2006-09-14 |
| 1235133182 | David B Siegel | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-09 |
| 1942204896 | William Sherman Smith | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-09 |
| 1730183799 | Joel Dale Thompson | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-08 |
| Find all providers in TUCSON | ||||
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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.