SUSAN NORTHERN LACY (NPI# 1710998729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710998729 |
| Entity Type | Individual |
| Full Name | SUSAN NORTHERN LACY |
| Credential | MD |
| Practice Address |
6401 Poplar Ave Ste 530 Memphis TN 38119-4840 |
| Mailing Address |
1407 Union Ave Ste 1401 Memphis TN 38104-3667 |
| Practice Telephone | 9017679368 |
| Practice Fax Number | 9017679496 |
| Mailing Telephone | 9017011777 |
| Mailing Fax Number | 9017011778 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
28143 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306023544 | Susan Elizabeth Lacy | Nurse Anesthetist, Certified Registered | 601 N 30th St, Omaha, NE 68131-2137 | 2008-01-30 |
| Street Address |
6401 POPLAR AVE STE 530 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346225620 | Nasir M Haque | Internal Medicine | 6401 Poplar Ave Ste 530, Memphis, TN 38119-4840 | 2005-12-09 |
| 1033137732 | Ob-gyn Specialists, P.C. | Obstetrics & Gynecology | 6401 Poplar Ave Ste 530, Memphis, TN 38119-4840 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265766877 | Obstetrics and Medicine Pllc | Obstetrics & Gynecology | 6005 Park Ave Ste 310, Memphis, TN 38119-5213 | 2009-09-29 |
| 1588715254 | Deidrea Latrice Grandberry | Obstetrics & Gynecology | 7705 Poplar Ave, Ste 150 Bldg B, Memphis, TN 38138-3930 | 2007-01-16 |
| 1669575064 | Joseph Keith Lawrence | Obstetrics & Gynecology | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2006-09-07 |
| 1609985522 | Corey Shane Mcglothan | Obstetrics & Gynecology | 1264 Wesley Dr, Ste 402, Memphis, TN 38116-6400 | 2006-08-30 |
| 1033121413 | Claudia Leonard Moise | Obstetrics & Gynecology | 6215 Humphreys Blvd, Suite 401, Memphis, TN 38120-2367 | 2006-08-13 |
| 1245242221 | Marva L Souder | Obstetrics & Gynecology | 2900 Kirby Rd, Suite 11, Memphis, TN 38119-8221 | 2006-08-11 |
| 1972514578 | Jessica M. Ruffin | Obstetrics & Gynecology | 1727 Kirby Parkway, Suite 200, Memphis, TN 38120 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699161117 | Heather Michelle Wherry | Obstetrics & Gynecology | 7705 Poplar Ave Bldg B, Germantown, TN 38138-3930 | 2015-04-10 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1275584716 | Kenneth R O'kelley | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-12 |
| 1003880493 | John Sindos Adams Sr. | Obstetrics & Gynecology | 929 Spring Creek Road, Suite 104, Chattanooga, TN 37412-3974 | 2006-02-14 |
| 1538162748 | Alfonzo S Arze | Obstetrics & Gynecology | 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 | 2005-05-23 |
| 1275186504 | Tessa B Eckhardt | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2019-07-16 |
| 1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
| 1588083943 | Stephanie Dallas | Obstetrics & Gynecology | 1161 21st Ave S, R-1214 Mcn, Nashville, TN 37232-2521 | 2014-04-15 |
| 1720407182 | Kreg Gosta Jonson | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2014-04-14 |
| 1104242262 | Stephanie Huskins | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2014-03-13 |
| 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.