DR. MICHAEL R LACY (NPI# 1982691465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982691465 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R LACY |
| Credential | MD |
| Practice Address |
1129 Hale Rd Memphis TN 38116-6373 |
| Practice Telephone | 9013960390 |
| Practice Fax Number | 9013968151 |
| Mailing Telephone | 9013960390 |
| Mailing Fax Number | 9013968151 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD16953 | MS | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD3423 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3898280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168201 | Michael Lacy | Home Health Aide | 2542 Bodie Mountain Rd, Colville, WA 99114-9663 | 2020-09-09 |
| 1548731789 | Michael Lacy | Peer Specialist | 4104 Shiloh Valley Rd, Edmond, OK 73034-6912 | 2018-12-16 |
| 1710357744 | Michael Lacy | Counselor | 9182 Colonsay Way, Sacramento, CA 95829-1513 | 2015-10-02 |
| 1801277157 | Michael Lorenzo Lacy II | Non-emergency Medical Transport (VAN) | 7651 Westbank Ave, Houston, TX 77064-8216 | 2015-06-12 |
| 1285825398 | Michael Lacy | Counselor | 2000 E 15th St Ste 150c, Edmond, OK 73013-6679 | 2007-08-05 |
| Street Address |
1129 HALE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931084 | Michelle Athryn Taylor | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2005-06-09 |
| 1942655253 | Jennifer Watson Hidinger | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2016-04-25 |
| 1396109823 | Grace Champlin | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2016-04-11 |
| 1487074712 | Joshua Nissi Christian Bakke | Pediatrics | 1129 Hale Rd, Memphis, TN 38116 | 2014-04-25 |
| 1508126921 | Joi Venice Wilson | Pediatrics | 1129 Hale Rd, Madison Avenue Suite 1031, Memphis, TN 38116-6373 | 2012-05-18 |
| 1659699247 | Jessica Hysmith | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2010-05-07 |
| 1114158649 | Joanne K Levine | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2009-07-31 |
| 1356575997 | Erin Ashley Amini | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2009-05-11 |
| 1700020591 | Karen Melissa Damico | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2009-04-24 |
| 1639337744 | Rebekah Kay Hofstra Shappley | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2008-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015453 | Taylor Aglio | Pediatrics | 49 N Dunlap St # 131, Memphis, TN 38103-2802 | 2015-06-14 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1366844490 | Gerard Joseph Billmeier Jr. | Pediatrics | 6465 Massey Lane, Memphis, TN 38120-3307 | 2014-09-19 |
| 1316348089 | James Levernier | Pediatrics | 4781 Park Ave, Memphis, TN 38117-5623 | 2014-09-11 |
| 1124454657 | Walter Thompson Hughes Jr. | Pediatrics | 854 River Park Dr, Memphis, TN 38103-0804 | 2013-09-16 |
| 1518301084 | Jennifer Lauren Miller | Pediatrics | 6401 Poplar Ave Ste 610, Memphis, TN 38119-4806 | 2013-04-26 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1477845451 | Emilee Adelyn Dobish | Pediatrics | 850 Poplar Ave, Building 2, Memphis, TN 38103 | 2011-05-09 |
| 1366748055 | Silpa Peravali | Pediatrics | Lebonheur Childrens Hospital, 848 Adams Avenue, Memphis, TN 38103 | 2011-01-28 |
| 1275854259 | Melissa Ruth Hines | Pediatrics | 262 Danny Thomas Pl # Ms 734, Division of Pediatric Critical Care, Memphis, TN 38105-3678 | 2010-06-14 |
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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.