Gaylin Lack, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Practice address

500 Health Center Dr
Suite 101
Mattoon, IL 61938-9258

Phone

(217) 238-3435

NPI assigned

Aug 22, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Montana Medical Facilities, Inc

  dba Central Montana Medical Center

  • Critical Access Hospital
  • Lewistown, MT
  • NPI 1790798387
  NPD (past)
• Central Montana Medical Facilities, Inc.

  dba Central Montana Medical Center Clinic

  • Family Medicine Physician
  • Lewistown, MT
  • NPI 1497868814

  Orthopaedic Surgery

  NPD (past)
• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881700714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HEALTH CENTER DR",
            "address_2": "SUITE 101",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389258",
            "telephone_number": "217-238-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HEALTH CENTER DR",
            "address_2": "SUITE 101",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389258",
            "telephone_number": "217-238-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACK",
        "first_name": "GAYLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Taylee Kramer, CNA
• Marlene Kremer, M.D.
• Richard Warren Kruckeberg, P.T., O.C.S., C.H.T.
• Megan Kuhn, M.S.
• Frances Catherine Kuhns, PHARM.D.
• Haylie Nicole Lading, DPT
• Joanna Laffey, RDH PHDH
• Khin W Laij, D.D.S.
• Lily K Laij, D.D.S.
• Lakewood Senior Living of Mattoon LLC

• Orthopaedic Surgery Physician in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.