DR. MARGERY LACKMAN (NPI# 1619036688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619036688 |
| Entity Type | Individual |
| Full Name | DR. MARGERY LACKMAN |
| Credential | M.D. |
| Practice Address |
500 San Pablo Ave Albany CA 94706-1103 |
| Practice Telephone | 5102048130 |
| Practice Fax Number | 5105240861 |
| Mailing Telephone | 5102048130 |
| Mailing Fax Number | 5105240861 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G63812 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2970 Hilltop Mall Rd, Suite 305, Richmond, CA 948061947 | 5102225437 | 5102225487 |
| Street Address |
500 SAN PABLO AVE |
| City | ALBANY |
| State | CA |
| Zip Code | 94706-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528035979 | Andrew B Wallach | Family Medicine | 500 San Pablo Ave, Suite 400, Albany, CA 94706-1127 | 2006-03-03 |
| 1518315795 | Lindsay Jordan Boothby | Family Medicine | 500 San Pablo Ave, Albany, CA 94706-1103 | 2016-05-29 |
| 1457764789 | Ella Kamal Khan | Family Medicine | 500 San Pablo Ave, Albany, CA 94706-1103 | 2014-06-04 |
| 1558601955 | Drew Ho | Nurse Practitioner | 500 San Pablo Ave, Suite 300, Albany, CA 94706-1103 | 2013-02-21 |
| 1669734778 | Corina Clark-derman | Registered Nurse | 500 San Pablo Ave, Albany, CA 94706-1103 | 2012-06-14 |
| 1992065825 | Anderson Hwa-te Tsai | Internal Medicine | 500 San Pablo Ave, Ste 300, Albany, CA 94706-1103 | 2012-05-25 |
| 1225322928 | Petra Adams | Pharmacist | 500 San Pablo Ave, Albany, CA 94706 | 2011-05-31 |
| 1619272168 | Madele Limpahan | Physician Assistant | 500 San Pablo Ave, Albany, CA 94706-1103 | 2011-01-13 |
| 1033432604 | Gordon Y Lee | Physician Assistant | 500 San Pablo Ave, Albany, CA 94706-1103 | 2010-03-10 |
| 1184866337 | Margaret Kirkham | Nurse Practitioner | 500 San Pablo Ave, Albany, CA 94706-1103 | 2009-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397065 | Cerrito Creek Family Medicine Inc | Family Medicine | 400 Evelyn Ave., St. 107, Albany, CA 94706 | 2019-07-02 |
| 1881250181 | Joan Marie Bernier | Speech-Language Pathologist | 622 Talbot Ave, Albany, CA 94706 | 2019-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1316480130 | Junghi Lee | Acupuncturist | 411 Cornell Avenue Apt12, Albany, CA 94706 | 2016-11-28 |
| 1356702294 | Albany Physical Therapy A Professional Corporation | Physical Therapist | 948 San Pablo Avenue, Albany, CA 94706 | 2016-03-18 |
| 1437430592 | Olga Olina Rule | Marriage & Family Therapist | 828 San Pablo Ave., Ste 216 B, Albany, CA 94706 | 2011-09-02 |
| 1316246820 | Christine Gocke | Acupuncturist | 1285 Gilman St, Berkeley, CA 94706 | 2011-03-23 |
| 1750699393 | Barbara Helen Howell | Marriage & Family Therapist | 828 San Pablo Ave Ste 120a, Albany, CA 94706 | 2010-09-16 |
| 1225349954 | Shahin Tabibzadeh | Social Worker | 555 Pierce Street #704, Albany, CA 94706 | 2010-06-28 |
| 1215269089 | Ginny Howe | Chiropractor | 1500 Oak View Avenue, Kensington, CA 94706 | 2010-02-04 |
| Find all providers in zip 94706 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053719302 | Leland Lamar Wince | Pediatrics | 8040 East Clifton Rd, Albany, IN 47320 | 2014-12-18 |
| 1609292697 | Kathleen Keating | Pediatrics | 1 Park Pl Ste 200, Albany, NY 12205-2676 | 2014-03-14 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1265750061 | Douglas Beaty Fair | Pediatrics | 540 Myrtle Ave, Albany, NY 12208-3303 | 2010-05-04 |
| 1962732735 | Debra Blog | Pediatrics | Bureau of Immunization New York State Dept Ofhealth, Empire State Plaza, Corning Tower, Room 649, Albany, NY 12237-0001 | 2009-12-30 |
| 1184825101 | Shirley K Catron M D Psc | Pediatrics | 701 Burkesville Rd, Albany, KY 42602-1654 | 2007-05-29 |
| 1902984784 | Donald N. Mangravite | Pediatrics | 1114 Curtis St, Albany, CA 94706-2421 | 2006-11-01 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| 1861409435 | Cajsa Jane Schumacher | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-03 |
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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.