MR. JEROME P. LACY MD NPI 1649225020

NPI Information

NPI: 1649225020
Provider Name: MR. JEROME P. LACY, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
6420 DUTCHMANS PKWY
SUITE 200
LOUISVILLE, KY
ZIP 40205
Phone: (502) 891-8300
Get Directions

MR. Jerome P. Lacy, MD is a cardiovascular disease internal medicine in Louisville, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MR. Jerome P. Lacy, MD NPI is 1649225020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6420 DUTCHMANS PKWY
SUITE 200
LOUISVILLE, KY
ZIP 40205-372
Phone: (502) 891-8300
Fax: (502) 891-8338

The NPI 1649225020 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	15898	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0558402	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
2	100388580A	MEDICAID	INDIANA
3	0780805	MEDICARE PIN	KENTUCKY
4	2433840000	OTHER	KENTUCKY	PASSPORT ADVANTAGE PIN
5	0368212	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
6	P400038660	MEDICARE PIN	KENTUCKY
7	000000044915	OTHER	KENTUCKY	ANTHEM PIN
8	50032166	OTHER	KENTUCKY	PASSPORT- CTS
9	00059009	MEDICARE PIN	KENTUCKY
10	0558212	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
11	1271808	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
12	100388580F	MEDICAID	INDIANA
13	64158983	MEDICAID	KENTUCKY
14	060049843	MEDICARE PIN	KENTUCKY
15	C62997	MEDICARE UPIN	KENTUCKY
16	4012633	OTHER	KENTUCKY	AETNA- CTS
17	1056116	OTHER	KENTUCKY	PASSPORT
18	0259805	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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