Thomas Kevin Lackey (NPI# 1720060247, PAC ID# 3971652611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1720060247 |
| PAC ID by PECOS | 3971652611 |
| Professional Enrollment ID | I20090528000530 |
| Full Name | Thomas Kevin Lackey |
| Organization Legal Name | COOSA PAIN AND WELLNESS |
| Address |
3804 Rainbow Dr Rainbow City AL 35906-3051 |
| Phone Number | 2569522200 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 7113153214 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010040 | GADSDEN REGIONAL MEDICAL CENTER |
| 010078 | NORTHEAST ALABAMA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3804 Rainbow Dr, Rainbow City, AL 35906-3051 | 2569522200 | COOSA PAIN AND WELLNESS |
| Organization Legal Name | COOSA PAIN AND WELLNESS |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Morris | Certified Registered Nurse Anesthetist (crna) | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Libby R Turnipseed | Nurse Practitioner | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Donald E Schueler | Certified Registered Nurse Anesthetist | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Street Address |
3804 RAINBOW DR |
| City | RAINBOW CITY |
| State | AL |
| Zip | 35906-3051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Morris | Certified Registered Nurse Anesthetist (crna) | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Libby R Turnipseed | Nurse Practitioner | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Donald E Schueler | Certified Registered Nurse Anesthetist | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Fredrick Keithan Ii | Internal Medicine | 109 Hollingsworth Ave, Rainbow City, AL 35906-3141 | |
| David M Wallace | Chiropractic | 112 W Grand Ave, Rainbow City, AL 35906-3233 | |
| Willbon B Bates | Family Practice | 309 W Grand Ave, Rainbow City, AL 35906-3241 | |
| April R King | Optometry | 115 W Grand Ave, Suite 120, Rainbow City, AL 35906-3244 | |
| Nicole Groover Woo | Nurse Practitioner | Stopwatch Urgent Care Centers LLC | 115 W Grand Ave, Suite 90, Rainbow City, AL 35906-3268 |
| Linda Jones | Family Practice | Acsh Urgent Care of Alabama LLC | 115 W Grand Ave, Rainbow City, AL 35906-3268 |
| Toni Michelle Hosea | Nurse Practitioner | Acsh Urgent Care of Alabama LLC | 115 W Grand Ave, Rainbow City, AL 35906-3268 |
| Derok S Cornwell | Physician Assistant | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Suraj P Sancheti | Internal Medicine | 3226 Rainbow Dr, Rainbow City, AL 35906-5804 | |
| Danny R Sparks | Orthopedic Surgery | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Find all physicians in zip 35906 | |||
| City | RAINBOW CITY |
| Zip Code | 35906 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | RAINBOW CITY + ANESTHESIOLOGY |
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| 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.