DR. HOMER LEE STALEY (NPI# 1609886936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609886936 |
Entity Type | Individual |
Full Name | DR. HOMER LEE STALEY |
Credential | M.D. |
Practice Address |
104 N Locust Ave Lawrenceburg TN 38464-3734 |
Practice Telephone | 9317626476 |
Practice Fax Number | 9317621841 |
Mailing Telephone | 9317626476 |
Mailing Fax Number | 9317621841 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD008952 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3170118 | 05 |
Street Address |
104 N LOCUST AVE |
City | LAWRENCEBURG |
State | TN |
Zip Code | 38464-3734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619103579 | Lawrenceburg Family Practice Associates, PC | Family Medicine | 104 N Locust Ave, Lawrenceburg, TN 38464-3734 | 2009-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
Find all providers in zip 38464 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174153555 | Jennifer Renee Williams | Family Medicine | 307 W Point Rd, Lawrenceburg, TN 38464-3055 | 2020-01-24 |
1437401080 | All Pro Health LLC | Family Medicine | 1238 1st Ave, Lawrenceburg, TN 38464-2704 | 2012-10-05 |
1447382361 | Gregory A Hines | Family Medicine | 1311 S Locust Ave, Suite 102, Lawrenceburg, TN 38464-4040 | 2007-03-09 |
1144312372 | Clayton D Wilson | Family Medicine | 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-2706 | 2006-09-28 |
1902919962 | Matthew C Dobias | Family Medicine | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 | 2006-08-16 |
1982659496 | Anderson Primary Care LLC | Family Medicine | 1055 Corporate Drive, Lawrenceburg, KY 40342 | 2006-05-23 |
1003884156 | Charles Robert Claydon | Family Medicine | 605 Wilson Creek Rd, Suite 102, Lawrenceburg, IN 47025 | 2006-03-14 |
1356310379 | Laura Jill Tibbe | Family Medicine | 24129 Professional Park Dr, Lawrenceburg, IN 47025 | 2006-03-14 |
1134195860 | Gregory Alan Hines | Family Medicine | 1311 S Locust Ave Ste 102, Suite 102, Lawrenceburg, TN 38464-4054 | 2006-02-23 |
1619948015 | Gary E Scudder | Family Medicine | 4932 Kirby Rd, Lawrenceburg, IN 47025-8227 | 2006-02-01 |
Find all providers in LAWRENCEBURG |
City | LAWRENCEBURG |
Zip Code | 38464 |
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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.