Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376561985 Individual Practitioner Male Practitioner

Dr. Thomas A. Lacy , MD

General Practice • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Lacy, MD is a registered healthcare professional specializing in General Practice in Orlando, FL. Practice services are available at 11715 ORPINGTON STREET, SUITE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11715 Orpington Street, Suite A
Tlc Pediatrics And Adolescent Medicine In Assoc With Ne

Orlando, FL 328174600

Telephone 4073809115
Fax 4073809189
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
170 Specialists

Practicing in Orlando, FL (2490 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME58227

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME58227

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
063917600 (FL)
Commercial Insurance / Payer ID Usa Managed Care Network
257675 (FL)
Commercial Insurance / Payer ID Aetna Healthcare
4006175 (FL)
Commercial Insurance / Payer ID Beechstreet
201529976 (FL)
Commercial Insurance / Payer ID Cigna Healthcare
4828516 (FL)
Commercial Insurance / Payer ID United Healthcare
1103520 (FL)
Commercial Insurance / Payer ID Amerigroup
270015 (FL)
Commercial Insurance / Payer ID Bcbs
11452 (FL)
Commercial Insurance / Payer ID Fhhs
FAO23 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1205863131

Doctor of Osteopathic Medicine (D.O.)

Monica Urquiola , ARNP

Nurse Practitioner - Family

NPI 1376915140

Advanced Registered Nurse Practitioner

Dr. Angela Goodwin , MD

General Practice

NPI 1649590068

Doctor of Medicine (M.D.)

Dr. Anne Van Wert , MD

General Practice

NPI 1659350031

Doctor of Medicine (M.D.)

Debra Mundine , ARNP

Nurse Practitioner

NPI 1770871030

Advanced Registered Nurse Practitioner

Dr. Sally Elias , MD

General Practice

NPI 1841223633

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2012

Registered at 11715 ORPINGTON STREET, SUITE A, TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE, ORLANDO, FL 328174600 (Tel: 4073809115)

📍
Updated Business Mailing Address December 07, 2012

Registered at P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 197320191 (Tel: 3026514488)

👤
Provider Name / Credentials Updated December 07, 2012

Recorded as THOMAS LACY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2012

Pediatrics (License #ME58227 in FL)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376561985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: December 07, 2012
Sole Proprietor: No

Mailing Address

P.o. Box 191, Provider Enrollment Department

Rockland, DE 197320191

Phone: 3026514488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.