Lacy Douglas (NPI# 1609993112, PAC ID# 6305946351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609993112 |
| PAC ID by PECOS | 6305946351 |
| Professional Enrollment ID | I20070705000433 |
| Full Name | Lacy Douglas |
| Organization Legal Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Address |
1607 Saint James Ct Suite 2 Tallahassee FL 32308-5352 |
| Phone Number | 8508788714 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103724778 |
| Number of Group Practice Members | 269 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15 Council Moore Rd, Crawfordville, FL 32327-3117 | 8509267105 | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 | 8508788714 | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Organization Legal Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Physicians | 296 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Krakovec | Family Medicine | Tallahassee Memorial Healthcare Inc | 15 Council Moore Rd, Crawfordville, FL 32327-3117 |
| Anthony Otis Russell | Addiction Medicine | Tallahassee Memorial Healthcare Inc | 2727 Capital Medical Blvd, Tallahassee, FL 32308-4403 |
| Stefanie Kreamer | Family Medicine | Tallahassee Memorial Healthcare Inc | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 |
| Eliana Green | Physician Assistant | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Hope Poole | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 1505 Surgeons Dr, Tallahassee, FL 32308-4632 |
| Less Shrestha | Rheumatology | Tallahassee Memorial Healthcare Inc | 3900 Esplanade Way, Tallahassee, FL 32311-0802 |
| Leah Varieur | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 17808 Ne Charlie Johns St, Tmh Physician Partners Blountstown, Blountstown, FL 32424-1052 |
| Theresa Winton | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 1541 Medical Dr, Tallahassee, FL 32308-4615 |
| Nicky Nelson | Internal Medicine | Tallahassee Memorial Healthcare Inc | 3333 Capital Oaks Dr, Tallahassee, FL 32308-4513 |
| Cartier P Lammert | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 2888 Mahan Dr, Suite 6, Tallahassee, FL 32308-5465 |
| Street Address |
1607 SAINT JAMES CT SUITE 2 |
| City | TALLAHASSEE |
| State | FL |
| Zip | 32308-5352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eliana Green | Physician Assistant | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Andrea A Venturini | Pulmonary Disease | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Gerald Skipper | Family Medicine | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Whitson Boyd | Physician Assistant | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Joyce M Dwyer | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Amara Okoli Emenike | Internal Medicine | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Kristi Taylor | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Meghan L Bassett | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Forrest R Dolly | Pulmonary Disease | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Francine T Bridges | Nurse Practitioner | Tallahassee Memorial Healthcare Inc | 1607 Saint James Ct, Suite 2, Tallahassee, FL 32308-5352 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Find all physicians in zip 32308 | |||
| City | TALLAHASSEE |
| Zip Code | 32308 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TALLAHASSEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lacy Douglas.
| 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.