DR. STUART R LACEY (NPI# 1831171107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831171107 |
| Entity Type | Individual |
| Full Name | DR. STUART R LACEY |
| Credential | MD |
| Practice Address |
5310 W Thunderbird Rd Suite110 Glendale AZ 85306-4706 |
| Practice Telephone | 6028654065 |
| Practice Fax Number | 6028656100 |
| Mailing Telephone | 6028654065 |
| Mailing Fax Number | 6028656100 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2014-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD155068 | OR | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
31590 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 788763 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265483036 | Stuart George Lacey | Dentist | 3445 O St, Lincoln, NE 68510-1541 | 2006-05-15 |
| Street Address |
5310 W THUNDERBIRD RD SUITE110 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852205 | Scott M Gulinson | Specialist | 5310 W Thunderbird Rd, Suite 308, Glendale, AZ 85306-4706 | 2005-06-27 |
| 1376925602 | Glendale Weightloss LLC | Family Medicine | 5310 W Thunderbird Rd, Ste 308, Glendale, AZ 85306-4706 | 2015-06-23 |
| 1619361599 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 5310 W Thunderbird Rd, Ste 200, Glendale, AZ 85306-4706 | 2015-03-27 |
| 1881017630 | Richard E Feldhake,dmd,pc | Dentist | 5310 W Thunderbird Rd, Suit 111, Glendale, AZ 85306-4706 | 2014-01-30 |
| 1114271152 | Kelly Jo Paulson | Physician Assistant | 5310 W Thunderbird Rd, Suite 301, Glendale, AZ 85306-4706 | 2012-10-29 |
| 1215204383 | Ben-ora, Hansen & Vanesian Imaging | Clinic/Center | 5310 W Thunderbird Rd, #213, Glendale, AZ 85306-4706 | 2011-11-17 |
| 1437458098 | Jmm Ventures | Specialist | 5310 W Thunderbird Rd, Ste 308, Glendale, AZ 85306 | 2011-03-22 |
| 1083911929 | Axis Eye Center LLC | Clinic/Center | 5310 W Thunderbird Rd, Suite 103, Glendale, AZ 85306-4706 | 2011-02-11 |
| 1588969786 | Edward P Fink Md LLC | Orthopaedic Surgery | 5310 W Thunderbird Rd, Ste 110, Glendale, AZ 85306-4706 | 2011-01-19 |
| 1700101078 | Tamis J Thrasher | Nurse Practitioner | 5310 W Thunderbird Rd, Suite 301, Glendale, AZ 85306-4706 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808932 | Joseph S Janik | Surgery | 5310 W Thunderbird Rd, Suite 110, Glendale, AZ 85306-4706 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033544564 | Wayne Truong | Surgery | 1432 S Dobson Rd, Suite 301, Mesa, AZ 85202-4768 | 2013-09-03 |
| 1659716983 | Cristine Sandra Velazco | Surgery | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-04-30 |
| 1639458201 | Benjamin Padilla | Surgery | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-08-12 |
| 1255621405 | Erin M Garvey | Surgery | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2011-04-08 |
| 1790917672 | Jorge E Uceda | Surgery | 1432 S Dobson Rd, #301, Mesa, AZ 85202-4768 | 2009-08-11 |
| 1346416864 | Ivan Misael Gutierrez | Surgery | 5166 E Glenn St, Tucson, AZ 85712-1337 | 2008-05-05 |
| 1801092085 | Cristina Angela Metildi | Surgery | 5166 E Glenn St, Tucson, AZ 85712-1337 | 2007-06-25 |
| 1710196019 | Jae-o Bae | Surgery | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2007-05-22 |
| 1558418590 | John Craig Egan | Surgery | 1920 E Cambridge Ave, # 201, Phoenix, AZ 85006 | 2007-01-04 |
| 1720190408 | Ramin Jamshidi | Surgery | 1920 E Cambridge Ave, Ste 201, Phoenix, AZ 85006-1459 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. STUART R LACEY.
| 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.