MR. CHARLES LEE LACKEY (NPI# 1285625640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285625640 |
Entity Type | Individual |
Full Name | MR. CHARLES LEE LACKEY |
Credential | M.D. |
Practice Address |
1515 N Porter Ave Suite 200 Norman OK 73071-6649 |
Practice Telephone | 4053668619 |
Mailing Telephone | 4053668619 |
Enumeration Date | 2005-11-03 |
Last Update Date | 2015-02-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
12222 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100106340A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144226291 | Charles Warren Lackey | Family Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2005-06-23 |
1528016532 | Charles W Lackey | Specialist | 100 St Marys Epworth Xing, Ste. A500, Newburgh, IN 47630-9698 | 2006-05-04 |
Street Address |
1515 N PORTER AVE SUITE 200 |
City | NORMAN |
State | OK |
Zip Code | 73071-6649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477099398 | Nga Lab Services LLC | Clinical Medical Laboratory | 1515 N Porter Ave, Suite 200, Norman, OK 73071-6649 | 2017-01-17 |
1134408701 | Nga Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1515 N Porter Ave, Norman, OK 73071-6649 | 2011-08-12 |
1053352054 | Robert Michael Holbrook | Internal Medicine | 1515 N Porter Ave, Suite 200, Norman, OK 73071-6649 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
Find all providers in zip 73071 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144235995 | Charles L. Lackey Md, PC | Internal Medicine | 1515 North Porter Ave, Suite 200, Norman, OK 73071-6446 | 2006-07-30 |
1851392351 | Andrew William Black | Internal Medicine | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2005-08-09 |
1467751016 | Joshua D. Whorton, M.d., Pllc | Internal Medicine | 1515 N Porter, Suite 200, Norman, OK 73071-6649 | 2011-03-22 |
1801824503 | Robert M. Holbrook Md, Pllc | Internal Medicine | 1125 N Porter Ave, Suite 206, Norman, OK 73071-6446 | 2006-06-29 |
1053352054 | Robert Michael Holbrook | Internal Medicine | 1515 N Porter Ave, Suite 200, Norman, OK 73071-6649 | 2006-06-09 |
1033187208 | Philip C Bird | Internal Medicine | 1125 N Porter Ave, Norman, OK 73071-6443 | 2006-03-14 |
1063480440 | Satish K Arora | Internal Medicine | 1125 N Porter Ave, Norman, OK 73071-6443 | 2006-03-10 |
1598733982 | Chintan A Parikh | Internal Medicine | 1125 N Porter Ave, Norman, OK 73071-6443 | 2006-03-10 |
1700854106 | Gi of Norman, LLC | Internal Medicine | 1125 N Porter Ave, Ste. 301, Norman, OK 73071-6443 | 2006-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
1568706554 | Ahmad S Jazzar | Internal Medicine | 5617 Normandy Ter, Oklahoma City, OK 73142-1823 | 2012-11-15 |
1730444886 | Molly Beth Lindquist Disbrow | Internal Medicine | 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 | 2012-07-05 |
1306111448 | Southwest Gastroenterology Associates Pllc | Internal Medicine | 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 | 2012-03-21 |
1154611457 | Aatish Mukesh Patel | Internal Medicine | 4200 E Skelly Dr Ste 700, Tulsa, OK 74135-3256 | 2011-04-08 |
1447478722 | Richard W. Seifert, M.d., Inc | Internal Medicine | 1145 S. Utica, Suite 909, Tulsa, OK 74104 | 2007-04-23 |
1528199866 | Verapan Vongthavaravat | Internal Medicine | 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 | 2007-03-08 |
1992852875 | Shih-kuang Hong | Internal Medicine | 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 | 2007-01-04 |
1407920036 | Robert Edward Ringrose | Internal Medicine | 324 E Oklahoma Ave, Guthrie, OK 73044-3315 | 2006-11-17 |
1083709430 | Imad A Zantout | Internal Medicine | 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 | 2006-10-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.