Charles Lackey (NPI# 1528016532, PAC ID# 7416852157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1528016532 |
| PAC ID by PECOS | 7416852157 |
| Professional Enrollment ID | I20070627000032 |
| Full Name | Charles Lackey |
| Organization Legal Name | SOUTHERN INDIANA IMAGING CONSULTANTS PC |
| Address |
3838 N 1st Ave Evansville IN 47710-3326 |
| Phone Number | 8124858100 |
| Gender | M |
| Credential | DO |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2062492291 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150100 | ST. MARY'S HEALTH, INC. |
| Address | Phone | Organization |
|---|---|---|
| 3700 Washington Ave, Southern Indiana Consultants PC, Evansville, IN 47714-0541 | 8124854000 | SOUTHERN INDIANA IMAGING CONSULTANTS PC |
| 3838 N 1st Ave, Evansville, IN 47710-3326 | 8124858100 | SOUTHERN INDIANA IMAGING CONSULTANTS PC |
| 100 St Marys Epworth Xing, A500 St Vincent Evansville Breast Center, Newburgh, IN 47630-9698 | 8124854437 | ST MARYS HEALTH INC |
| Organization Legal Name | SOUTHERN INDIANA IMAGING CONSULTANTS PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Robert Sutton | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 4199 Gateway Blvd, Newburgh, IN 47630-8940 |
| James D Mcdaniel | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 400 Se 4th St, Southern Indiana Consultants PC, Evansville, IN 47713-1206 |
| Jeffrey B Hemmerlein | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 100 St Marys Epworth Xing, Suite A500, Newburgh, IN 47630-9698 |
| Thomas E Schultheis | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 400 Se 4th St, Southern Indiana Consultants PC, Evansville, IN 47713-1206 |
| Arich Ryan Reynolds | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 3700 Washington Ave, Southern Indiana Consultants PC, Evansville, IN 47714-0541 |
| Killol J Thakore | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 400 Se 4th St, Southern Indiana Consultants PC, Evansville, IN 47713-1206 |
| Steven C Basinski | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 100 St Marys Epworth Xing, Suite A500, Newburgh, IN 47630-9698 |
| Leonid Drozhinin | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 3700 Washington Ave, Southern Indiana Consultants PC, Evansville, IN 47714-0541 |
| John W Nay | Diagnostic Radiology | Southern Indiana Imaging Consultants PC | 3700 Washington Ave, Southern Indiana Consultants PC, Evansville, IN 47714-0541 |
| Street Address |
3838 N 1ST AVE |
| City | EVANSVILLE |
| State | IN |
| Zip | 47710-3326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn D Isaacs | Chiropractic | Evansville Rehabilitation PC | 120 N Fulton Ave, Suite B, Evansville, IN 47710-1002 |
| Jeffrey L James | Chiropractic | Evansville Rehabilitation PC | 120 N Fulton Ave, Suite B, Evansville, IN 47710-1002 |
| Jay D Rohleder | Chiropractic | Evansville Rehabilitation PC | 120 N Fulton Ave, Suite B, Evansville, IN 47710-1002 |
| Jani Sue Reisinger | Nurse Practitioner | Echo Community Health Care, Inc. | 25 W Division St, Evansville, IN 47710-1374 |
| Thomas L Stratton | Family Medicine | Echo Community Health Care, Inc. | 25 W Division St, Evansville, IN 47710-1374 |
| Sheila A Jensen | Nurse Practitioner | Echo Community Health Care, Inc. | 25 W Division St, Evansville, IN 47710-1374 |
| David E Yates | Oral Surgery | Oral Surgery Group of Evansville, Inc | 550 W Virginia St, Evansville, IN 47710-1614 |
| Robert C Shumate | Oral Surgery | Oral Surgery Group of Evansville, Inc | 550 W Virginia St, Evansville, IN 47710-1614 |
| David L Hayhurst | Oral Surgery | Oral Surgery Group of Evansville, Inc | 550 W Virginia St, Evansville, IN 47710-1614 |
| Mitchell I Troyer | Oral Surgery | Oral Surgery Group of Evansville, Inc | 550 W Virginia St, Evansville, IN 47710-1614 |
| Find all physicians in zip 47710 | |||
| City | EVANSVILLE |
| Zip Code | 47710 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EVANSVILLE + DIAGNOSTIC RADIOLOGY |
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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.