Robert Boyd M Lackey (NPI# 1538190004, PAC ID# 0345282208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538190004 |
| PAC ID by PECOS | 0345282208 |
| Professional Enrollment ID | I20050601000786 |
| Full Name | Robert Boyd M Lackey |
| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Address |
755 S Pleasant Ave Wellspan Family Med Dallastown Dallastown PA 17313-9252 |
| Phone Number | 7178511300 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951213115 |
| Number of Group Practice Members | 1060 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390046 | YORK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 | 7178511300 | WELLSPAN MEDICAL GROUP |
| 1600 S George St, York, PA 17403-4508 | 7178483615 | WELLSPAN MEDICAL GROUP |
| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Physicians | 1155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Sitler | Physician Assistant | Wellspan Medical Group | 1600 S George St, York, PA 17403-4508 |
| Amber Rickrode | Nurse Practitioner | Wellspan Medical Group | 671 Wilson Ave, Hanover, PA 17331-9519 |
| Konrad Michael Dziamski | Rheumatology | Wellspan Medical Group | 292 St Charles Way, Wellspan Rheumatology, York, PA 17402-4648 |
| Detrich Brown | Nurse Practitioner | Wellspan Medical Group | 1401 Roosevelt Ave, York, PA 17404-2244 |
| Ricky Daniel Heath | Geriatric Medicine | Wellspan Medical Group | 720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 |
| Patricia Martha Zahner | Urology | Wellspan Medical Group | 450 S Washington St, Suite E Wellspan Urology, Gettysburg, PA 17325-2500 |
| Obioma J. Igboko | Pain Management | Wellspan Medical Group | 1227 Baltimore St, Hanover, PA 17331-4406 |
| Courtney Erin Krug | Radiation Oncology | Wellspan Medical Group | 35 Monument Rd, Suite 201, York, PA 17403-5074 |
| Matthew James Mccarl | Family Medicine | Wellspan Medical Group | 100 Frederick St, Suite 101, Hanover, PA 17331-3518 |
| Alyson Hope Neiheiser | Nurse Practitioner | Wellspan Medical Group | 136 Lake St, Ephrata, PA 17522-2415 |
| Street Address |
755 S PLEASANT AVE WELLSPAN FAMILY MED DALLASTOWN |
| City | DALLASTOWN |
| State | PA |
| Zip | 17313-9252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tana Young | Nurse Practitioner | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Dipak M Patel | Internal Medicine | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Christine E Detwiler | Nurse Practitioner | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Brandon J Bishop | Physician Assistant | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Daniel Stephen Eckert | Family Medicine | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Jean E Rudisill | Nurse Practitioner | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Corinna Rae Rosenzweig | Nurse Practitioner | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Richard John Turosinski | Family Medicine | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Mokarroma Sharmin | Family Medicine | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Melanie R Farabaugh | Family Medicine | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen C Torregrossa | Chiropractic | 690 E Main St, Dallastown, PA 17313-2314 | |
| Dale L Kresge | Internal Medicine | Dallastown Medical Associates LLP | 1010 Blymire Rd, Dallastown, PA 17313-9220 |
| Rebecca L Robbins | Physician Assistant | Dallastown Medical Associates LLP | 1010 Blymire Rd, Dallastown, PA 17313-9220 |
| Mark Rowand | Family Medicine | Dallastown Medical Associates LLP | 1010 Blymire Rd, Dallastown, PA 17313-9220 |
| Jeffrey P Rowand | Family Medicine | Dallastown Medical Associates LLP | 1010 Blymire Rd, Dallastown, PA 17313-9220 |
| Mindy Ann Noll | Family Medicine | Dallastown Medical Associates LLP | 1010 Blymire Rd, Dallastown, PA 17313-9220 |
| Rocco R Arcieri | Family Medicine | Dallastown Medical Associates LLP | 1010 Blymire Rd, Dallastown, PA 17313-9220 |
| Randall Rowand | Family Medicine | Dallastown Medical Associates LLP | 1010 Blymire Rd, Dallastown, PA 17313-9220 |
| Mihir Govind Modi | Family Medicine | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Rebecca J Myers | Physician Assistant | Wellspan Medical Group | 755 S Pleasant Ave, Wellspan Family Med Dallastown, Dallastown, PA 17313-9252 |
| Find all physicians in zip 17313 | |||
| City | DALLASTOWN |
| Zip Code | 17313 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DALLASTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert Boyd M Lackey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.