Michael Kennedy Tracy (NPI# 1124229380, PAC ID# 2668433814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1124229380 |
| PAC ID by PECOS | 2668433814 |
| Professional Enrollment ID | I20120409000125 |
| Full Name | Michael Kennedy Tracy |
| Address |
6183 Paseo Del Norte Suite 290 Carlsbad CA 92011-1151 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1999 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6183 Paseo Del Norte, Suite 290, Carlsbad, CA 92011-1151 |
| Street Address |
6183 PASEO DEL NORTE SUITE 290 |
| City | CARLSBAD |
| State | CA |
| Zip | 92011-1151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Lewis | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| William A Kosik | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Katherine Lorraine Waters | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Christine Clermont | Occupational Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Amyn Valji | Occupational Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Kimberly Gates | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Erin Bo Brooks | Occupational Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Nicholas David Lacey | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Donovan R Curtis | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Nicole Anderson | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Find all physicians in zip 92011 | |||
| City | CARLSBAD |
| Zip Code | 92011 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CARLSBAD + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.