LACEY GOLDEN PA NPI 1811290968

NPI Information

NPI: 1811290968
Provider Name: LACEY GOLDEN, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
48 MEDICAL PARK DR E STE 255
BIRMINGHAM, AL
ZIP 35235
Phone: (205) 838-3090
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Lacey Golden, PA is a surgical physician assistant in Birmingham, AL. Lacey Golden, PA NPI is 1811290968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

48 MEDICAL PARK DR E STE 255
BIRMINGHAM, AL
ZIP 35235-464
Phone: (205) 838-3090
Fax: (205) 838-3043

The NPI 1811290968 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 12/13/2010 and was last updated on 1/21/2019.

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	363AS0400X	Physician Assistant	Surgical	PA.638	ALABAMA	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	051114785	OTHER	ALABAMA	BCBS
2	127143	MEDICAID	ALABAMA
3	127144	MEDICAID	ALABAMA
4	04957385	MEDICAID	MISSISSIPPI
5	051114784	OTHER	ALABAMA	BCBS
6	051114787	OTHER	ALABAMA	BCBS

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: 11/14/2023

NPI Synchronization or Removal

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