LACEY GARDNER (NPI# 1790226504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790226504 |
| Entity Type | Individual |
| Full Name | LACEY GARDNER |
| Credential | PA-C |
| Practice Address |
865 Deshong Dr Paris TX 75460-9313 |
| Mailing Address |
Po Box 732 Antlers OK 74523-0732 |
| Practice Telephone | 9037854521 |
| Mailing Telephone | 5805793314 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11191 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758254 | Lacey Caroline Gardner | Physician Assistant | 1970 Ashland Dr, Mount Pleasant, MI 48858-1203 | 2008-01-02 |
| Street Address |
865 DESHONG DR |
| City | PARIS |
| State | TX |
| Zip Code | 75460-9313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761777 | Frederick Allen Thurmond | Specialist | 865 Deshong Dr, Paris, TX 75460-9313 | 2005-06-22 |
| 1811514250 | Yen Hoang Nguyen | Pharmacist | 865 Deshong Dr, Paris, TX 75460-9313 | 2020-07-01 |
| 1649896580 | Jennifer Ann Christian | Nurse Practitioner | 865 Deshong Dr, Paris, TX 75460-9313 | 2020-06-16 |
| 1932751799 | Philip Kwetey | Nurse Anesthetist, Certified Registered | 865 Deshong Dr, Paris, TX 75460-9313 | 2019-07-11 |
| 1518528389 | Adam Zigler | Anesthesiology | 865 Deshong Dr, Paris, TX 75460-9313 | 2019-06-24 |
| 1205349875 | Reginald Robinson | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-11-06 |
| 1134665607 | Murray Walker | Nurse Anesthetist, Certified Registered | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-01-09 |
| 1164974143 | Fasciamedica Prompta, Pllc | Emergency Medicine | 865 Deshong Dr, Paris, TX 75460-9313 | 2016-10-26 |
| 1386004570 | Katherine Ann Chadwick | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2016-03-01 |
| 1336506773 | Meghan Brooke Glascock | Nurse Anesthetist, Certified Registered | 865 Deshong Dr, Paris, TX 75460-9313 | 2016-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1760038582 | Hannah Mathis Hutson | Physician Assistant | 1297 Mineral Wells Ave, Paris, TN 38242-5050 | 2019-08-16 |
| 1477517639 | Tom Kevin Staton | Physician Assistant | 1655 Ne Loop 286, Paris, TX 75460 | 2006-04-14 |
| 1285625129 | Timothy Allen Lavoy | Physician Assistant | 305 N Collegiate Dr, Paris, TX 75460-4870 | 2005-10-31 |
| 1528697190 | Joshua Mark Diltz | Physician Assistant | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-06 |
| 1134627557 | Eagle Creek Emergency Group, PC | Physician Assistant | 301 Tyson Ave, Paris, TN 38242-4544 | 2018-01-31 |
| 1205349875 | Reginald Robinson | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-11-06 |
| 1235648221 | Matthew K Woodruff | Physician Assistant | 2200 S Main St, Paris, IL 61944-2966 | 2017-09-22 |
| 1891123949 | Red River Valley Inpatient Services Pllc | Physician Assistant | 820 Clarksville St, Paris, TX 75460-6027 | 2013-10-29 |
| 1154643211 | Allison Courtney Crosby | Physician Assistant | 1188 N Market St, Paris, TN 38242-3206 | 2010-02-17 |
| Find all providers in PARIS | ||||
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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.