Thomas C Lackey Ii (NPI# 1114955598, PAC ID# 6608963285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1114955598 |
PAC ID by PECOS | 6608963285 |
Professional Enrollment ID | I20071029000591 |
Full Name | Thomas C Lackey Ii |
Organization Legal Name | FLORIDA LAKES SURGICAL PLLC |
Address |
4759 Lakeview Dr Suite 101 Sebring FL 33870-2005 |
Phone Number | 8634025600 |
Gender | M |
Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
Graduation Year | 2001 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 9537256110 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100049 | HIGHLANDS REGIONAL MEDICAL CENTER |
100109 | FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4759 Lakeview Dr, Suite 101, Sebring, FL 33870-2005 | 8634025600 | FLORIDA LAKES SURGICAL PLLC |
Organization Legal Name | FLORIDA LAKES SURGICAL PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregg Shore | Colorectal Surgery (proctology) | Florida Lakes Surgical Pllc | 4759 Lakeview Dr, Suite 101, Sebring, FL 33870-2005 |
Street Address |
4759 LAKEVIEW DR SUITE 101 |
City | SEBRING |
State | FL |
Zip | 33870-2005 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregg Shore | Colorectal Surgery (proctology) | Florida Lakes Surgical Pllc | 4759 Lakeview Dr, Suite 101, Sebring, FL 33870-2005 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark A Ashby | Psychiatry | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
Ray H Tangunan | General Practice | 6801 Us Hwy 27 N B4, Sebring, FL 33870 | |
Ernesto Pinzon | Nephrology | 2950 Alt Us Hwy 27 S, Suite A, Sebring, FL 33870 | |
Michael Eric Sanders | Nurse Practitioner | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
John Mcneal | Clinical Social Worker | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
Mary Louise Hudson Ray | Nurse Practitioner | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
Ronald V Fronda | Internal Medicine | Ernesto Pinzon Pa | 2950 Alt Us Hwy 27 S, Suite A, Sebring, FL 33870 |
Dipakkumar M Upadhyaya | Obstetrics/gynecology | 6801 Us 27, Suite A 1, Sebring, FL 33870-1000 | |
Anthony J Arciola | Urology | 6801 Us 27 N, C2, Sebring, FL 33870-1000 | |
Bridglal Ramkissoon | Neurology | 6801 Us 27, Suite A3, Sebring, FL 33870-1000 | |
Find all physicians in zip 33870 |
City | SEBRING |
Zip Code | 33870 |
Specialty | GENERAL SURGERY |
City + Specialty | SEBRING + GENERAL SURGERY |
Please comment or provide details below to improve the information on Thomas C Lackey Ii.
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.