LACEY CAROLINE GARDNER


Address: 1970 Ashland Dr, Mount Pleasant, MI 48858-1203
Phone: 9897795262

LACEY CAROLINE GARDNER (NPI# 1679758254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679758254
Entity Type Individual
Full Name LACEY CAROLINE GARDNER
Credential PA-C
Practice Address 1970 Ashland Dr
Mount Pleasant
MI 48858-1203
Practice Telephone 9897795262
Practice Fax Number 9897726784
Mailing Telephone 9897795262
Mailing Fax Number 9897726784
Enumeration Date 2008-01-02
Last Update Date 2013-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601005080 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD 010Z960170 01
MI BCBS 080B610040 01
MI MEDICARE PTAN 0Z96017 01
MI MEDICARE GROUP 0Z96017 01
MI MEDICARE GROUP NUMBER MI1118 01
MI MEDICARE GROUP NUMBER 0P43930 01

Other Providers LACEY GARDNER

NPI Name Taxonomy Address Enumeration
1790226504 Lacey Gardner Physician Assistant 865 Deshong Dr, Paris, TX 75460-9313 2017-03-13

Office Location

Street Address 1970 ASHLAND DR
City MOUNT PLEASANT
State MI
Zip Code 48858-1203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235624396 Alexis Stevens Nurse Practitioner 1970 Ashland Dr, Mount Pleasant, MI 48858-1203 2018-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535067 Family Tree Maternity Center, LLC Midwife 5201 S. Mission Rd., Mt. Pleasant, MI 48858 2020-10-14
1942842471 Isabella Citizens for Health, Inc. Pharmacy 2790 Health Parkway, Mt Pleasant, MI 48858 2019-10-16
1295299279 Dalten Tyler Simnitch Student in an Organized Health Care Education/Training Program 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 2019-01-24
1942773809 Jordan Lynn Bell Technician, Other 798 S Whilteville Rd, Mount Pleasant, MI 48858 2019-01-03
1083183578 Amanda Danielle Greene Student in an Organized Health Care Education/Training Program 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 2018-11-14
1891264388 Emily Mccullen Student in an Organized Health Care Education/Training Program 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 2018-11-14
1174092662 Nathaniel Lambie Student in an Organized Health Care Education/Training Program 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 2018-11-14
1386110872 Megan Stahl Social Worker 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 2018-10-23
1710461090 Beverly Jean Medford Custodial Care Facility 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 2018-09-21
1760976211 Jen Carlesimo Behavior Technician Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 2018-06-19
Find all providers in zip 48858

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144836461 Michael Joseph Haven Physician Assistant 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 2020-09-22
1427677376 John Swinton Physician Assistant 3434 Attley St, Mount Pleasant, SC 29466-6860 2020-04-10
1639717747 Jessica Carolann Burt Physician Assistant 1300 Hospital Dr Ste 210, Mount Pleasant, SC 29464-3208 2019-12-19
1942855549 Jessica Gunn Robinson Physician Assistant 804 Runaway Bay Ln Apt F, Mount Pleasant, SC 29464-2961 2019-08-09
1093283608 Sida Bai Physician Assistant 1280 E Campus Dr Central Michigan University, Mount Pleasant, MI 48859-0001 2018-11-13
1548756299 Michael John Wanner Physician Assistant 3811 Spring St # 102, Mount Pleasant, WI 53405-1667 2018-07-05
1629408968 Alissa Marie Mcmahon Physician Assistant 1447 Windsor Way Unit 3, Mount Pleasant, WI 53406-2825 2013-11-23
1235415860 Carrie Ann White Physician Assistant 2890 Health Pkwy, Mount Pleasant, MI 48858-6931 2011-10-27
1083247530 Joshua Delarosa Physician Assistant 3801 Spring St, Mount Pleasant, WI 53405-1667 2020-02-12
1396377883 Taylor Rae Root Physician Assistant 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 2020-02-12
Find all providers in MOUNT PLEASANT

Competitor

Search similar providers

City MOUNT PLEASANT
Zip Code 48858

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Dataset Information

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.

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