ROBERT JON LACKAMP (NPI# 1356347892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356347892 |
| Entity Type | Individual |
| Full Name | ROBERT JON LACKAMP |
| Credential | MD |
| Practice Address |
5501 S Mccoll Rd Edinburg TX 78539-5503 |
| Mailing Address |
5501 S Mccoll Rd Ste 500 Edinburg TX 78539-5503 |
| Practice Telephone | 9566617100 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0416055 | KS | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R6792 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
5501 S MCCOLL RD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941381 | Mabel Luciano | Surgery | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-08-04 |
| 1306463096 | Martha Maricela Solis Trevino | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-29 |
| 1205452919 | Benson Thomas Plavilapadinjattethil | Registered Nurse | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-18 |
| 1942825567 | Benjamin Facer | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-09 |
| 1831713445 | Ans Albustamy | Internal Medicine | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-31 |
| 1811511447 | Rohan Adiga | Physical Medicine & Rehabilitation | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-29 |
| 1326661398 | Emily Yoon | Internal Medicine | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-25 |
| 1407477870 | Joseph Eladio Caporusso | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-04-27 |
| 1457971855 | Jose Antonio Rivera | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-04-26 |
| 1952921413 | Rodolfo Garza Morales | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689842189 | Regional Radiologists | Radiology | 3111 Center Point Dr Ste A, Edinburg, TX 78539-8667 | 2008-02-19 |
| 1902082969 | Hammami Imaging & Assoc | Radiology | 2513 W. Trenton Rd, Edinburg, TX 78539-5070 | 2008-01-21 |
| 1679644801 | Vangala J. Reddy, M.d. P.a. | Radiology | 3111-a Center Pointe, Edinburg, TX 78539-2437 | 2006-11-10 |
| 1255344636 | Ghassan Al-hammami | Radiology | 2513 W Trenton Rd, Edinburg, TX 78539-5070 | 2006-08-15 |
| 1780232603 | Precision Radiology Imaging, Pllc | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2019-09-04 |
| 1275181455 | Renaissance Radiology Associates Pllc | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2019-08-30 |
| 1568596559 | Samuel Serna | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2007-03-14 |
| 1487736583 | Rodolfo Luis Garcia | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2006-10-19 |
| 1326137365 | Manuel P Lastra | Radiology | 2614 Cornerstone Blvd, Edinburg, TX 78539-9122 | 2006-10-11 |
| 1184734485 | Vangala J Reddy | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2006-08-30 |
| Find all providers in EDINBURG | ||||
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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.