MR. STEVEN L LACKIE (NPI# 1407895568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407895568 |
| Entity Type | Individual |
| Full Name | MR. STEVEN L LACKIE |
| Credential | P.A. |
| Practice Address |
4677 Towne Centre Rd Suite 301 Saginaw MI 48604-2846 |
| Practice Telephone | 9897998712 |
| Practice Fax Number | 9897914216 |
| Mailing Telephone | 9897998712 |
| Mailing Fax Number | 9897914216 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001993 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4677 TOWNE CENTRE RD SUITE 301 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968856 | E Malcolm Field | Neurological Surgery | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2005-11-04 |
| 1699179689 | Angelina Oggema | Nurse Practitioner | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2014-10-20 |
| 1407285257 | Richard Herm | Nurse Practitioner | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2013-11-02 |
| 1427394766 | Teresa A Villano | Nurse Practitioner | 4677 Towne Centre Rd, Suite 102, Saginaw, MI 48604-2846 | 2012-12-13 |
| 1093070591 | St. Mary's of Michigan | Emergency Medicine | 4677 Towne Centre Rd, Suite 302, Saginaw, MI 48604-2846 | 2012-07-10 |
| 1164793683 | Comprehensive Pain Management Center, Inc. | Pain Medicine | 4677 Towne Centre Rd, Suite 102, Saginaw, MI 48604-2846 | 2012-01-13 |
| 1063731131 | Emily Ruth Mclaren | Emergency Medicine | 4677 Towne Centre Rd, Suite 302, Saginaw, MI 48604-2846 | 2010-05-27 |
| 1225278740 | Saginaw Valley Neurology Pllc | Psychiatry & Neurology | 4677 Towne Centre Rd, Suite 303, Saginaw, MI 48604-2846 | 2009-02-24 |
| 1689830192 | Joseph Ghassan Adel | Specialist | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2008-08-04 |
| 1831350776 | Danielle Luea Graham | Emergency Medicine | 4677 Towne Centre Rd, Suite 302, Saginaw, MI 48604-2846 | 2008-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336447002 | Northview Medical House Calls Plc | Physician Assistant | 2475 Midland Rd, Suite 2, Saginaw, MI 48603-8005 | 2011-03-04 |
| 1255489001 | Judith L Sweany | Physician Assistant | 3400 N Center Rd Ste 500, Saginaw, MI 48603-7922 | 2007-01-08 |
| 1447216999 | Jill Anne Lebourdais | Physician Assistant | 4905 Berl Dr, Saginaw, MI 48604-2801 | 2006-04-25 |
| 1386630598 | Brian J Watson | Physician Assistant | 100 S Jefferson Ave, Suite 202, Saginaw, MI 48607-1267 | 2005-09-22 |
| 1083240865 | Jacob Angus Macdowell | Physician Assistant | 3150 Hallmark Ct Ste 2, Saginaw, MI 48603-2173 | 2020-03-12 |
| 1992270870 | Saginaw Valley Family Care, Pllc | Physician Assistant | 4386 State St, Saginaw, MI 48603-4067 | 2018-10-08 |
| 1811356512 | Jennifer Engelby | Physician Assistant | 926 N Michigan Ave, Saginaw, MI 48602-4369 | 2016-02-23 |
| 1598175168 | Marc Evan Thompson | Physician Assistant | 800 Cooper Ave, Saginaw, MI 48602-5394 | 2014-05-05 |
| 1033462635 | Marcus S Breidinger | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2012-10-19 |
| 1972886703 | Zachary Benjamin Retzler | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2011-09-28 |
| Find all providers in SAGINAW | ||||
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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.