Active NPI
Tiffany M Lasky, DO
- Surgical Critical Care Physician
- El Paso, TX
National Provider Identifier
1104861731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- U7340
- Practice address
- 4801 Alberta Ave
El Paso, TX 79905-2707 - Phone
- (915) 215-5300
- Fax
- (915) 215-8606
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1809 | TN | |
| Surgery Physician | 208600000X | U7340 | TX | |
| Surgical Critical Care Physician | 2086S0102X | 3449 | WV | |
| Surgery Physician | 208600000X | 3449 | WV | |
| Trauma Surgery Physician | 2086S0127X | 1809 | TN | |
| Trauma Surgery Physician | 2086S0127X | 5101014615 | MI | |
| Surgical Critical Care Physician | 2086S0102X | U7340 | TX | Primary |
Addresses
Primary practice location
4801 Alberta Ave
El Paso, TX 79905-2707
Mailing address
5130 Gateway Blvd E # CP
El Paso, TX 79905-1608
Phone (915) 215-4480
Other practice location 1
325 N State Of Franklin Rd
Johnson City, TN 37604-6062
Phone (423) 439-7201
Other practice location 2
1201 Washington St E Ste 208
Charleston, WV 25301-1841
Phone (304) 388-7270
Other practice location 3
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-9677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1809 | TN | MD | Behavioral Analyst |
| 3449 | WV | MD | Surgery Physician |
| 5101014615 | MI | MD | Trauma Surgery Physician |
Practice roles
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
1220 Lee St E
Ste 208
Charleston, WV 25301
Phone (304) 388-7270
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Family Medicine
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Surgery Physician
- El Paso, TX
- NPI 1538240478
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Urgent Care Clinic/Center
- Gray, TN
- NPI 1144770934
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Children's Hospital
- El Paso, TX
- NPI 1558659714
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1104861731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 GATEWAY BLVD E # CP",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051608",
"telephone_number": "915-215-4480",
"fax_number": "915-215-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052707",
"telephone_number": "915-215-5300",
"fax_number": "915-215-8606"
}
],
"practiceLocations": [
{
"address_1": "325 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046062",
"country_code": "US",
"telephone_number": "423-439-7201",
"fax_number": "423-439-7219",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Washington St E Ste 208",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011841",
"country_code": "US",
"telephone_number": "304-388-7270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-9677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASKY",
"first_name": "TIFFANY",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "1809",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "U7340",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "WV",
"license": "3449",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "3449",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TN",
"license": "1809",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MI",
"license": "5101014615",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "U7340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.