SUSHIL SOLOMON LACY (NPI# 1598788572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598788572 |
| Entity Type | Individual |
| Full Name | SUSHIL SOLOMON LACY |
| Credential | MD |
| Practice Address |
5500 Pine Lake Rd Lincoln NE 68516-3389 |
| Practice Telephone | 4024898888 |
| Practice Fax Number | 4024211945 |
| Mailing Telephone | 4024898888 |
| Mailing Fax Number | 4024211945 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 16674 | NC | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 12132 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 340005458 | 01 | |
| MIDLANDS CHOICE | 1253 | 01 | |
| BLUE CROSS BLUE SHIELD | 00763 | 01 | |
| UNITED HEALTH CARE | 1900039 | 01 |
| Street Address |
5500 PINE LAKE RD |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467490433 | Urology Surgical Center LLC | Clinic/Center | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-06-03 |
| 1104345495 | Ashley D Sealy | Dietitian, Registered | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2017-09-18 |
| 1669889200 | Thomas P Brush | Surgery | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2014-07-15 |
| 1558709832 | Simone Christine Vampola | Nurse Practitioner | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2013-06-10 |
| 1518227958 | Tara Michele Kirkpatrick | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516 | 2012-05-19 |
| 1770886491 | Tiffany Ann Wood | Physician Assistant | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2010-12-20 |
| 1518120823 | Jonathan R Henning | Urology | 5500 Pine Lake Rd, Urology PC, Lincoln, NE 68516-3389 | 2008-07-07 |
| 1154442507 | Lance Wiebusch | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2007-04-03 |
| 1346312105 | Donna Colleen Johnson | Nurse Practitioner | 5500 Pine Lake Rd, Lincoln, NE 68516 | 2006-11-15 |
| 1558384826 | Kimberley Anna Brown | Physician Assistant | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104075084 | Bruce Nadjmi | Urology | 5 Christopher Drive, Lincoln, RI 02865-4946 | 2008-09-16 |
| 1093738361 | Peter Elbridge Howe | Urology | 5500 Pine Lake Road, Lincoln, NE 68516 | 2006-07-26 |
| 1518227958 | Tara Michele Kirkpatrick | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516 | 2012-05-19 |
| 1518120823 | Jonathan R Henning | Urology | 5500 Pine Lake Rd, Urology PC, Lincoln, NE 68516-3389 | 2008-07-07 |
| 1154442507 | Lance Wiebusch | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2007-04-03 |
| 1467475731 | David Brian Wiltfong | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-26 |
| 1376566646 | Richard Allen Crusinberry | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-26 |
| 1285657551 | Don Lewis Henslee | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-26 |
| 1902829989 | Andrew John Lepinski | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-25 |
| 1831112747 | Christopher Erik Larson | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-25 |
| Find all providers in LINCOLN | ||||
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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.