STEPHEN GARY LALKA M.D. NPI 1194737478

NPI Information

NPI: 1194737478
Provider Name: STEPHEN GARY LALKA, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 205-7481
Get Directions

Stephen Gary Lalka, M.D. is a vascular surgery surgery in Jackson, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Stephen Gary Lalka, M.D. NPI is 1194737478. 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:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 205-7481
Fax: (313) 876-1305

The NPI 1194737478 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 8/13/2006 and was last updated on 8/1/2022.

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	208600000X	Surgery		2005-01060	NORTH CAROLINA	No
2	208600000X	Surgery		01035930A	INDIANA	No
3	2086S0129X	Surgery	Vascular Surgery	2005-01060	NORTH CAROLINA	No
4	2086S0129X	Surgery	Vascular Surgery	01035930A	INDIANA	No
5	2086S0129X	Surgery	Vascular Surgery	4301500422	MICHIGAN	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	N0106A	MEDICAID	SOUTH CAROLINA
2	P00245249	OTHER		RAILROAD MEDICARE
3	1396N	OTHER	NORTH CAROLINA	BCBS
4	1194737478	MEDICAID	NORTH CAROLINA
5	5901224	MEDICAID	NORTH CAROLINA

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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