LACEY GOLDEN (NPI# 1811290968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811290968 |
| Entity Type | Individual |
| Full Name | LACEY GOLDEN |
| Credential | PA |
| Practice Address |
48 Medical Park Dr E Ste 255 Birmingham AL 35235-3464 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2058383090 |
| Practice Fax Number | 2058383043 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.638 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 051114785 | 01 |
| AL | 127143 | 05 | |
| AL | 127144 | 05 | |
| MS | 04957385 | 05 | |
| AL | BCBS | 051114784 | 01 |
| AL | BCBS | 051114787 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 19th St S, Birmingham, AL 352490001 | 2057319701 |
| Street Address |
48 MEDICAL PARK DR E STE 255 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326380684 | Scott Orr | Orthopaedic Surgery | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1659693836 | Chelsea Bares | Physician Assistant | 2151 Highland Ave S Ste 200, Birmingham, AL 35205-4031 | 2010-02-16 |
| 1174797542 | Richard Gregory Winters | Physician Assistant | 701 19th Street South, Lhr 112, Birmingham, AL 35294-0001 | 2008-04-16 |
| 1972797686 | Vital Surg LLC | Physician Assistant | 1321 19th St S, Birmingham, AL 35205-4801 | 2007-09-05 |
| 1982710299 | Lisa Ledlow Kuntz | Physician Assistant | 52 Medical Park Drive East, Ste 307, Birmingham, AL 35235 | 2006-08-21 |
| 1114030947 | Iris Daniella Stuart | Physician Assistant | Uab Dept of Surgery Division of Plastic, Fot 1150 510 20th Street S., Birmingham, AL 35294-3411 | 2006-08-16 |
| 1184659393 | Linda Carolyn Langston | Physician Assistant | 1751 Charleston Way, Birmingham, AL 35216-4886 | 2006-07-12 |
| 1104889765 | Karen Elizabeth Connor | Physician Assistant | 3460 Manor Ln, #204, Birmingham, AL 35209-5666 | 2006-04-06 |
| 1184691099 | Stephanie L Mcgilvray | Physician Assistant | 701 South 19th Street, Birmingham, AL 35294-0001 | 2006-03-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
Please comment or provide details below to improve the information on LACEY GOLDEN.
| 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.