MARK A LACEY (NPI# 1629151501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629151501 |
| Entity Type | Individual |
| Full Name | MARK A LACEY |
| Credential | PA C |
| Practice Address |
672 N River St Suite 110 Plains PA 18705-1014 |
| Practice Telephone | 5708244111 |
| Practice Fax Number | 5708243167 |
| Mailing Telephone | 5708244111 |
| Mailing Fax Number | 5708243167 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA000855L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
672 N RIVER ST SUITE 110 |
| City | PLAINS |
| State | PA |
| Zip Code | 18705-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556924 | Douglas S Coslett | Obstetrics & Gynecology | 672 N River St, Suite 111, Plains, PA 18705-1033 | 2005-08-31 |
| 1548510167 | D'andrea Cardiovascular Care Center LLC | Internal Medicine | 672 N River St, Suite 101, Plains, PA 18705-1014 | 2012-09-11 |
| 1841594546 | Catherine Forlenza | Nurse Practitioner | 672 N River St, Suite 111, Plains, PA 18705-1033 | 2011-01-10 |
| 1124267695 | Amedisys Hospice LLC | Hospice Care, Community Based | 672 N River St, Suite 301, Plains, PA 18705-1014 | 2009-02-06 |
| 1255477733 | Louis J. Mastrini | Dentist | 672 N River St, Suite 209, Plains, PA 18705-1014 | 2007-01-30 |
| 1194735399 | Jean Pierre Romanace | Physical Medicine & Rehabilitation | 672 N River St, Suite 110, Plains, PA 18705-1014 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
| Find all providers in zip 18705 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184942831 | Rita Cross | Physician Assistant | 71 Abbott St, Plains, PA 18705-1905 | 2010-05-05 |
| 1174575229 | Heather Renae Paduck | Physician Assistant | 672 North River Street, Suite 110, Plains, PA 18705-1033 | 2006-05-17 |
| 1194065342 | Eileen M Campetti | Physician Assistant | 670 N River St, Suite 201, Plains, PA 18705-1027 | 2013-02-26 |
| 1851474746 | Elaine M Lacey | Physician Assistant | 667 S River St, Plains, PA 18705 | 2006-10-23 |
| 1114916475 | Lisa M Smith | Physician Assistant | 107 Main St, Plains, GA 31780-5570 | 2005-10-19 |
| 1568456754 | Jennifer Repshis | Physician Assistant | 220 S River St, Plains, PA 18705-1137 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.