James M Lackey
PROPHYLAXIS HEALTHCARE LLC


Address: 23 W Commercial St, Axis Healthcare Inola, Inola, OK 74036-3606
Phone: 9185438880

James M Lackey (NPI# 1730255050, PAC ID# 6901850395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1730255050
PAC ID by PECOS 6901850395
Professional Enrollment ID I20150409000534
Full Name James M Lackey
Organization Legal Name PROPHYLAXIS HEALTHCARE LLC
Address 23 W Commercial St
Axis Healthcare Inola
Inola
OK 74036-3606
Phone Number 9185438880
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year 2000
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3072784289
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370015 HILLCREST HOSPITAL PRYOR
370039 HILLCREST HOSPITAL CLAREMORE
370166 WAGONER COMMUNITY HOSPITAL
370025 SAINT FRANCIS HOSPITAL MUSKOGEE

Other Locations

Address Phone Organization
23 W Commercial St, Axis Healthcare Inola, Inola, OK 74036-3606 9185438880 PROPHYLAXIS HEALTHCARE LLC
211 S Mill St, Axis Healthcare Pryor 2, Pryor, OK 74361-5221 9188253777 PROPHYLAXIS HEALTHCARE LLC

Organization Information

Organization Legal Name PROPHYLAXIS HEALTHCARE LLC
Physicians 16

Physicians with the same organization

Name Specialty Organization Address
Brenda L Hayman-hensley Physician Assistant Prophylaxis Healthcare LLC 5505 E 51st St, Tulsa, OK 74135-7468
John P Watson Nurse Practitioner Prophylaxis Healthcare LLC 211 S Mill St, Axis Healthcare Pryor 2, Pryor, OK 74361-5221
Bret A Hubbard Family Medicine Prophylaxis Healthcare LLC 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030
Tony Ho Family Medicine Prophylaxis Healthcare LLC 303 E Taft Ave, 3 Axis Healthcare Sapulpa, Sapulpa, OK 74066-5651
Mary W Martin Obstetrics/gynecology Prophylaxis Healthcare LLC 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259
David Chorley Family Medicine Prophylaxis Healthcare LLC 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030
Robert E Mitchell Plastic and Reconstructive Surgery Prophylaxis Healthcare LLC 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030
Elizabeth A Lee Physician Assistant Prophylaxis Healthcare LLC 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259
Jacklyn D Rose Nurse Practitioner Prophylaxis Healthcare LLC 303 E Taft Ave, 3 Axis Healthcare Sapulpa, Sapulpa, OK 74066-5651
Scott G Lilly Hematology/oncology Prophylaxis Healthcare LLC 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030

Office Location

Street Address 23 W COMMERCIAL ST
AXIS HEALTHCARE INOLA
City INOLA
State OK
Zip 74036-3606

Physicians in the same zip code

Name Specialty Organization Address
Clarissa A Siragusa Clinical Social Worker 140 N Broadway, Inola, OK 74036-9419
Jason E Cook Chiropractic 12 W Commercial St, Suite A, Inola, OK 74036-9425

Competitor

Search similar physicians

City INOLA
Zip Code 74036
Specialty FAMILY MEDICINE
City + Specialty INOLA + FAMILY MEDICINE

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Dataset Information

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.

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