DR. HOMER LEE STALEY


Address: 104 N Locust Ave, Lawrenceburg, TN 38464-3734
Phone: 9317626476

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD008952 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3170118 05

Office Location

Street Address 104 N LOCUST AVE
City LAWRENCEBURG
State TN
Zip Code 38464-3734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619103579 Lawrenceburg Family Practice Associates, PC Family Medicine 104 N Locust Ave, Lawrenceburg, TN 38464-3734 2009-06-05

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LAWRENCEBURG
Zip Code 38464

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Dataset Information

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.

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