Charles L. Lackey MD, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12222 Issued in OK

Legal business name

CHARLES L. LACKEY MD, PC

Practice address

1515 North Porter Ave
Suite 200
Norman, OK 73071-6446

Phone

(405) 366-8619

Fax

(405) 366-1839

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert M Holbrook, MDNPI 1053352054

Title

Owner

Phone

(405) 366-8619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Michael Holbrook, M.D.

  • Gastroenterology Physician
  • Norman, OK
  • NPI 1053352054
  Medicare reassignment Care Compare group NPD Authorized official
• Blair A. Kirkpatrick, MD

  • Student in an Organized Health Care Education/Training Program
  • Norman, OK
  • NPI 1942680087

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Joshua D Whorton, MD

  • Gastroenterology Physician
  • Norman, OK
  • NPI 1346381969
  Medicare reassignment Care Compare group NPD
• Julie N Roberson, APRN, NPC

  • Family Nurse Practitioner
  • Norman, OK
  • NPI 1487056065
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1144235995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N PORTER AVE STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716654",
            "telephone_number": "405-366-8619",
            "fax_number": "405-366-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NORTH PORTER AVE",
            "address_2": "SUITE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716446",
            "telephone_number": "405-366-8619",
            "fax_number": "405-366-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. LACKEY MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-366-8619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "12222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlie Chapman
• Catherine Chapman, LCSW
• Linda Joyce Chapman, LADC, LCSW
• Tarika Chappell
• Charles B Goddard Health Center Counseling at the University of Ok
• Charlotte Kelly Rosko PHD Inc
• Blake Pruitt Chatham, DO
• Quynh Diem Chau, PA-C
• Chauncey Murch LLC (Free Thinking Counseling)
• Vickie Chavarria

• Gastroenterology Physician in Norman, OK
• Providers in Norman, OK by specialty
• Gastroenterology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.